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Individual

DR. FADI AL FARAWATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS, MCLINDENT

Contact information

Practice address
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912-0415
(706) 721-2696
(706) 721-6778
Mailing address
1130 HUNTERS CV, EVANS, GA 30809-6903
(786) 304-3793

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
35962
TX
1223P0700X
Prosthodontics
Primary
DNF000405
GA

Other

Enumeration date
06/30/2015
Last updated
07/12/2022
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