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Organization

EDWIN L FARRAR, DDS INC

Active
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Organization

EDWIN L FARRAR, DDS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RANDI PATRICIA BITTLE (OFFICE MANAGER)
(419) 756-0711
Entity
Organization

Contact information

Practice address
630 LEXINGTON AVE, MANSFIELD, OH 44907-1500
(419) 756-0711
(419) 756-4886
Mailing address
630 LEXINGTON AVE, MANSFIELD, OH 44907-1500
(419) 756-0711
(419) 756-4886

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—

Other

Enumeration date
09/29/2006
Last updated
08/09/2011
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