Individual
FARAH YASMEEN FNU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
166 CROSSROADS BLVD STE 100, DAWSONVILLE, GA 30534-7868
(706) 265-3191
Mailing address
150 55TH ST, BROOKLYN, NY 11220-2508
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015326
GA
Other
Enumeration date
02/16/2016
Last updated
11/19/2020
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