Individual
CHRISTOPHER DANIEL FARISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
14815 N DALE MABRY HWY, TAMPA, FL 33618-2027
(813) 264-1993
Mailing address
14815 N DALE MABRY HWY, TAMPA, FL 33618-2027
(813) 264-1993
(803) 637-6058
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DGD.8605 GD
SC
1223G0001X
General Practice Dentistry
Primary
DN25354
FL
Other
Enumeration date
07/23/2015
Last updated
09/16/2020
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