Individual
FERISHTA FAQEERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
119 NE 1ST ST, TRENTON, FL 32693-3428
(352) 463-3120
Mailing address
4011 NW 65TH AVE, GAINESVILLE, FL 32653-8371
(352) 665-1097
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19860
FL
Other
Enumeration date
07/18/2012
Last updated
03/05/2013
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