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Individual
DR. KASEY Y FARAH
Active
Individual
DR. KASEY Y FARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411874
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401411874
VIRGINIA DEPARTMENT OF HE
VA
Enumeration date
07/16/2007
Last updated
08/04/2010
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