Individual
JEAN L FARBOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
125 N PANSY ST, ISHPEMING, MI 49849-3015
(906) 485-5575
Mailing address
125 N PANSY ST, ISHPEMING, MI 49849-3015
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020223
MI
Other
Enumeration date
06/30/2010
Last updated
09/08/2020
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