Organization
JOHN FARAH PA
Active
Other names
Farah Dentistry, Spagnoli Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E. FARAH DMD (DENTIST)
(321) 614-0486
Entity
Organization
Contact information
Practice address
55 N CARPENTER RD, TITUSVILLE, FL 32796-2204
(321) 269-3802
(321) 269-0920
Mailing address
55 N CARPENTER RD, TITUSVILLE, FL 32796-2204
(321) 269-3802
(321) 269-0920
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578930707
DENTIST PRACTICING AT LOCATION
FL
Enumeration date
05/06/2022
Last updated
05/06/2022
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