Individual
MR. CHARLES D FARRELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1212 DUFF AVE, AMES, IA 50010-5467
(515) 232-6830
(515) 232-3296
Mailing address
1212 DUFF AVE, AMES, IA 50010-5467
(515) 232-6830
(515) 232-3296
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5764
IA
Other
Enumeration date
12/14/2005
Last updated
07/08/2007
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