# FARR DENTAL

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

## Provider details

- **NPI number:** 1972912327
- **Authorized official:** DR. MITCHELL J. FARR D.M.D. (DR.)
- **Authorized official phone:** (954) 974-4101

## Contact information

- **Practice address:** 1507 LYONS RD., COCONUT CREEK, FL 33063
- **Practice address phone:** (954) 974-4101
- **Practice address fax:** (954) 974-4101
- **Mailing address:** 1507 LYONS RD., COCONUT CREEK, FL 33063
- **Mailing address phone:** (954) 974-4101
- **Mailing address fax:** (954) 974-6154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DN10716 | — | — |
| 122300000X | Dentist | DN11255 | — | Yes |

## Other

- **Enumeration date:** 08/11/2014
- **Last updated:** 08/11/2014