DR. Randolph Kelly Faulk JR., DDS

NPI #1407807605 in Sanford, North Carolina

Provider Information

NPI Number: 1407807605
Entity Type: Individual
Name: DR. Randolph Kelly Faulk JR., DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1806 DOCTORS DR
City: Sanford
State: North Carolina
ZIP Code: 27330
Phone: (919) 774-9419

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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