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ROSLYN FAULK

Dental Providers Dental Assistant

Provider NPI: 1306298997

Provider Information:
 ROSLYN  FAULK 
Gender: F
Not Sole Proprietor

Practice Location:
7223 MISSISSIPPI AVENUT  FROT POLK, LA 71459 US
Tel: 337-531-4940  Fax: --

Business Mailing Address:
7223 MISSISSIPPI AVENUT  FROT POLK, LA 71459 US
Tel: --  Fax: --

NPI Information:
NPI: 1306298997
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y126800000XDental Providers
Dental Assistant

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 126800000X

Type:

Classification:



Definition:



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