Individual
DR. MICHAEL VINCENT FARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
301 MAPLE AVE W, SUITE A, VIENNA, VA 22180-4308
(703) 938-3770
(703) 938-3190
Mailing address
301 MAPLE AVE W, SUITE A, VIENNA, VA 22180-4308
(703) 938-3770
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401003839
VA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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