Individual
MICHAEL RYAN FARRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2066 HIGHWAY 45 BY PASS, TRENTON, TN 38382-9998
(731) 855-1053
(731) 855-8064
Mailing address
2066 HWY 45 BY PASS SOUTH, TRENTON, TN 38382
(731) 855-1053
(731) 855-8064
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9456
TN
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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