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1871768622
CHARLES DOUGLAS KIRKSEY
FAIRFAX, VA
NPI
1871768622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401005454)
Enumeration Date
2008-04-23
Last Update Date
2016-09-15
Business Address
-- CHARLES DOUGLAS KIRKSEY DDS
10611 JUDICIAL DR
FAIRFAX, VA 22030-5165
Phone number: 703-385-0303
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Mailing Address
-- CHARLES DOUGLAS KIRKSEY DDS
10611 JUDICIAL DR
FAIRFAX, VA 22030-5165
Phone number: 703-385-0303
Copy
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