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1821496803
JOHN WILLARD FAUL
NEW SMYRNA BEACH, FL
NPI
1821496803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL 008155)
Enumeration Date
2014-12-08
Last Update Date
2014-12-08
Business Address
Dr. JOHN WILLARD FAUL D.M.D.
1111 S DIXIE FWY
NEW SMYRNA BEACH, FL 32168-7473
Phone number: 386-424-1631
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Mailing Address
Dr. JOHN WILLARD FAUL D.M.D.
1648 TAYLOR RD # 457
PORT ORANGE, FL 32128-6753
Phone number: 321-626-7725
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