John W Faul, Dmd, PA
NPI #1447469879 in Keystone Heights, Florida
Provider Information
- NPI Number
- 1447469879
- Entity Type
- Organization
- Organization Name
- John W Faul, Dmd, PA
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 22, 2007
- Last Updated
- Dec 7, 2011
Practice Location
- Address
- 7435 STATE ROAD 21
- Address 2
- SUITE B
- City
- Keystone Heights
- State
- Florida
- ZIP Code
- 32656-9301
- Phone
- (352) 473-8988
Authorized Official
- Name
- DR. JOHN W FAUL, D.M.D.
- Title
- PRESIDENT
- Phone
- (321) 626-7725
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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