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Individual

DR. KEN H. FARRAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
3770 DUE WEST RD NW, SUITE 100, MARIETTA, GA 30064-1016
(770) 428-0283
(770) 590-8658
Mailing address
3770 DUE WEST RD NW, SUITE 100, MARIETTA, GA 30064-1016
(770) 428-0283
(770) 590-8658

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9158
GA

Other

Enumeration date
10/03/2006
Last updated
07/08/2007
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