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1922026632
JEFFREY MELVIN GALLISDORFER
WINSTON SALEM, NC
NPI
1922026632
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NC 5143)
Enumeration Date
2006-07-18
Last Update Date
2007-07-08
Business Address
Dr. JEFFREY MELVIN GALLISDORFER DDS
116 JONESTOWN RD
WINSTON SALEM, NC 27104-4617
Phone number: 336-768-7495
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Mailing Address
Dr. JEFFREY MELVIN GALLISDORFER DDS
116 JONESTOWN RD
WINSTON SALEM, NC 27104-4617
Phone number: 336-768-7495
Copy
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