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Organization
DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HO
Active
Organization
DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HO
Active
Parent organization
DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HO
Organization subpart
Yes
Provider details
NPI number
Legal business name
DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HO
Authorized official
JENNIFER RAYLE HOCK (DIRECTOR OF BILLING)
(704) 295-4653
Entity
Organization
Contact information
Practice address
122 E KINDERTON WAY, BERMUDA RUN, NC 27006-7303
(336) 998-3300
Mailing address
5550 77 CENTER DR STE 320, CHARLOTTE, NC 28217-0739
(704) 295-4653
(704) 295-4288
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
Other
Enumeration date
06/10/2022
Last updated
12/01/2022
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