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Organization
JOHN FARAH PA
Active
Organization
JOHN FARAH PA
Active
Other names
Farah Dentistry, Spagnoli Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E. FARAH DMD (DENTIST)
(321) 614-0486
Entity
Organization
Contact information
Practice address
55 N CARPENTER RD, TITUSVILLE, FL 32796-2204
(321) 269-3802
(321) 269-0920
Mailing address
55 N CARPENTER RD, TITUSVILLE, FL 32796-2204
(321) 269-3802
(321) 269-0920
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578930707
DENTIST PRACTICING AT LOCATION
FL
Enumeration date
05/06/2022
Last updated
05/06/2022
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