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Individual
DR. MARIE C FAYNOR
Active
Individual
DR. MARIE C FAYNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
006915
CT
1223G0001X
General Practice Dentistry
6915
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002069153
—
CT
Enumeration date
07/29/2005
Last updated
10/03/2013
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