Individual
MARNI ELYSE FARAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
330 W OREGON AVE, PHILADELPHIA, PA 19148-4723
(727) 608-8798
Mailing address
500 ADMIRALS WAY APT 427, PHILADELPHIA, PA 19146-5230
(727) 608-8798
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS041213
PA
Other
Enumeration date
07/13/2019
Last updated
07/13/2019
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