R Kelly Faulk Jr DDS PA
NPI #1235116724 in Sanford, North Carolina
Provider Information
- NPI Number
- 1235116724
- Entity Type
- Organization
- Organization Name
- R Kelly Faulk Jr DDS PA
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 27, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1806 DOCTORS DR
- City
- Sanford
- State
- North Carolina
- ZIP Code
- 27330
- Phone
- (919) 774-9419
Authorized Official
- Name
- DR. RANDOLPH KELLY FAULK JR., DDS
- Title
- OWNER
- Phone
- (919) 774-9419
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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