Organization
NEW DAY FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FORREST FARR DDS (OWNER)
(618) 222-8887
Entity
Organization
Contact information
Practice address
5899 N BELT W, BELLEVILLE, IL 62226-4600
(618) 222-8887
Mailing address
5899 N BELT W, BELLEVILLE, IL 62226-4600
(618) 222-8887
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026486
IL
122300000X
Dentist
019026532
IL
Other
Enumeration date
01/26/2012
Last updated
06/05/2014
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