Individual
DR. CHARLES KEVIN FARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5425 EL CAMINO REAL, ATASCADERO, CA 93422-3355
(805) 461-3422
(805) 461-3448
Mailing address
5425 EL CAMINO REAL, ATASCADERO, CA 93422-3355
(805) 461-3422
(805) 461-3448
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43145
CA
Other
Enumeration date
07/15/2006
Last updated
07/08/2007
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