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Individual

DR. WILLIAM WALLACE FAULK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
4510 AUGUSTA RD, GARDEN CITY, GA 31408-1750
(912) 964-1030
(912) 964-8412
Mailing address
PO BOX 7503, GARDEN CITY, GA 31418-7503
(912) 964-1030
(912) 964-8412

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10777
GA

Other

Enumeration date
03/21/2007
Last updated
07/08/2007
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