Individual
DR. ERNEST CECIL FARABEE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2530 BERT KOUNS INDUSTRIAL LOOP, SUITE 112, SHREVEPORT, LA 71118-3132
(318) 688-2225
(318) 688-2306
Mailing address
1246 KELLIWOOD DR, SHREVEPORT, LA 71106-7849
(318) 798-2521
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4748
LA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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