Individual
AHMED AZZAM FARAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
30035 HAUN RD BLDG B, MENIFEE, CA 92584-6805
(951) 566-9090
Mailing address
30035 HAUN RD BLDG B, MENIFEE, CA 92584-6805
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
110519
CA
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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