R KELLY FAULK JR DDS PA

SANFORD, NC
NPI1235116724
Entity TypeOrganization
Authorized ContactRANDOLPH KELLY FAULK
Owner
919-774-9419
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: NC  6030)
Enumeration Date2005-12-27
Last Update Date2020-08-22
Business Address
R KELLY FAULK JR DDS PA
1806 DOCTORS DR
SANFORD, NC 27330
Phone number: 919-774-9419
Mailing Address
R KELLY FAULK JR DDS PA
1806 DOCTORS DR
SANFORD, NC 27330
Phone number: 919-774-9419
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