Organization
DELAINE R FARIAS DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELAINE FARIAS DDS (OWNER)
(361) 510-6796
Entity
Organization
Contact information
Practice address
7426 S STAPLES ST STE 101, CORPUS CHRISTI, TX 78413-5382
(361) 992-2421
Mailing address
7426 S STAPLES ST STE 101, CORPUS CHRISTI, TX 78413-5382
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16422
TX
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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