Individual
DR. JAKE FARIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7125 ORCHARD LAKE RD STE 310, WEST BLOOMFIELD, MI 48322-3620
(248) 855-1855
Mailing address
2050 PINE LAKE TRL, KEEGO HARBOR, MI 48320-1307
(248) 860-1286
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901021256
MI
Other
Enumeration date
07/30/2014
Last updated
03/27/2019
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