NPI 1346948908
Bryan Mason Faulk, DENTALTECHNICIAN
Practice location
- Address
- Bldg #50 Farenholt Ave, Agana Heights, GU 96910
- Phone
- (671) 344-9493
- Mailing address
- Psc 455 Box 208, Fpo, AP 96540-0003
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1346948908
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Feb 2023
- Record last updated
- 22 Feb 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.