Individual
DR. EDWARD CARL FAKTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
321 2ND ST, LAKEWOOD, NJ 08701-3329
(732) 367-3003
Mailing address
321 2ND ST, LAKEWOOD, NJ 08701-3329
(732) 367-3003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI16489N
NJ
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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