Organization
FOUAD FARHAT DDS MSD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FOUAD FARHAT DDS MSD (OWNER)
(206) 244-1410
Entity
Organization
Contact information
Practice address
15515 3RD AVE SW STE D, BURIEN, WA 98166-2553
(206) 244-1410
(206) 244-9127
Mailing address
15515 3RD AVE SW STE D, BURIEN, WA 98166-2553
(206) 244-1410
(206) 244-9127
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DE00004745
WA
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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