Organization
FARIS DENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA M FARIS DDS (OWNER)
(864) 282-8555
Entity
Organization
Contact information
Practice address
870 CLEVELAND ST, SUITE 2C, GREENVILLE, SC 29601-4427
(864) 282-8555
(864) 282-8551
Mailing address
870 CLEVELAND ST, SUITE 2C, GREENVILLE, SC 29601-4427
(864) 282-8555
(864) 282-8551
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3683
SC
Other
Enumeration date
05/23/2007
Last updated
05/20/2013
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