Individual
MARK LYMAN FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
22470 COUNTY ROAD 32.5, JULESBURG, CO 80737-9662
(970) 474-2763
Mailing address
22470 COUNTY ROAD 32.5, JULESBURG, CO 80737-9662
(970) 474-2763
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN105667
CO
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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