# R KEITH FARR DDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124672548
- **Authorized official:** RONALD KEITH FARR DDS (OWNER)
- **Authorized official phone:** (480) 834-8035

## Contact information

- **Practice address:** 4540 E BASELINE RD STE 111, MESA, AZ 85206-4616
- **Practice address phone:** (480) 834-8035
- **Practice address fax:** (480) 833-5378
- **Mailing address:** 4540 E BASELINE RD STE 111, MESA, AZ 85206-4616
- **Mailing address phone:** (480) 834-8035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2019
- **Last updated:** 07/25/2019