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Individual

DR. MATHUE FAULKNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
9191 GARLAND RD APT 921, DALLAS, TX 75218-3974
(801) 808-4756
Mailing address
9191 GARLAND RD APT 921, DALLAS, TX 75218-3974
(801) 808-4756

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
27738
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
LL18908
NV

Other

Enumeration date
09/10/2009
Last updated
01/14/2015
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