Individual
CHARLES EDWIN FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4041 HIGHWAY 90, PACE, FL 32571-1917
(850) 994-8185
Mailing address
4041 HIGHWAY 90, PACE, FL 32571-1917
(850) 994-8185
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 18343
FL
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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