Individual
TAYLOR WEBB FAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
150 N LOUISVILLE ST, HARLEM, GA 30814
(706) 449-8352
Mailing address
6100 FAIRHAVEN DR APT 6401, AUGUSTA, GA 30909-0356
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122364
GA
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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