Individual
DR. FADI A. FARSAKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
19339 VICTORY BLVD, UNIT 102, RESEDA, CA 91335
(818) 572-2858
Mailing address
19339 VICTORY BLVD, UNIT 102, RESEDA, CA 91335
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0
IL
122300000X
Dentist
Primary
DDS108775
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DDS108775
CA
Other
Enumeration date
05/26/2021
Last updated
08/13/2026
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