Individual
LORI M FAULCONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
12217 MARSHFIELD WAY, BAKERSFIELD, CA 93312-5737
(661) 525-8570
Mailing address
12217 MARSHFIELD WAY, BAKERSFIELD, CA 93312-5737
(661) 525-8570
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1048
CA
Other
Enumeration date
06/22/2024
Last updated
06/22/2024
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