DR. John Willard Faul, D.M.D.

NPI #1821496803 in New Smyrna Beach, Florida

Provider Information

NPI Number: 1821496803
Entity Type: Individual
Name: DR. John Willard Faul, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Dec 8, 2014
Last Updated: Dec 8, 2014

Practice Location

Address: 1111 S DIXIE FWY
City: New Smyrna Beach
State: Florida
ZIP Code: 32168-7473
Phone: (386) 424-1631

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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