Individual
DR. KASEY Y FARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5233 CHAMBERLAYNE AVENUE, RICHMOND, VA 23227
(804) 266-5040
(804) 266-5030
Mailing address
201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
(719) 562-4447
(719) 583-1801
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411874
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401411874
VIRGINIA DEPARTMENT OF HE
VA
Enumeration date
07/16/2007
Last updated
08/04/2010
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