Individual
JOSEPH HALIM FARAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3441 CONWAY BLVD, PORT CHARLOTTE, FL 33952-7002
(941) 764-9555
(941) 764-9277
Mailing address
3441 CONWAY BLVD, PORT CHARLOTTE, FL 33952-7002
(941) 764-9555
(941) 764-9277
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN16330
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83855
BCBS
—
Enumeration date
08/05/2006
Last updated
07/08/2007
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