JOHN W FAUL, DMD, PA
Dentist at State Road 21, Keystone Heights, FL

License number
Florida DN08155
Category
Ambulatory Health
Type
Dental
Owner
Name: DR. JOHN W FAUL D.M.D.
Title: PRESIDENT
Phone: (321) 626-7725
Address
Address
7435 State Road 21 SUITE B, Keystone Heights, FL 32656
National Provider ID: 1447469879
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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John W. Faul, D.M.D., PA

Daytona Beach, FL  -  Merritt Island, FL  -  Keystone Heights, FL

Registration:
Oct 22, 1998
Addresses:
1648 Taylor Rd, Daytona Beach, FL 32128
446 Magnolia Ave, Merritt Island, FL 32952
140 SW Grv St, Keystone Heights, FL 32656
State ID:
P98000090047
Business type:
Domestic for Profit Corporation
Director:
John W. D Faul (Director)

Dentist licenses in Florida