Individual
MR. CHRISTOPHER C FALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
313 S LAKEWOOD DR, BRANDON, FL 33511-2815
(813) 653-8100
Mailing address
160 PIERCE AVE, MACON, GA 31204-2871
(478) 743-0901
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014712
GA
Other
Enumeration date
04/10/2012
Last updated
04/30/2019
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