Individual
DAVID WAYNE FARNSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
901 E 21ST ST STE B, CLOVIS, NM 88101-4492
(575) 762-4794
Mailing address
901 E 21ST ST STE B, CLOVIS, NM 88101-4492
(575) 762-4794
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
7520
AZ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DD3765
NM
Other
Enumeration date
09/18/2008
Last updated
04/07/2014
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