Individual
FARAH BABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2000
Mailing address
6 FORD LN, ROSELAND, NJ 07068-1419
(860) 248-6167
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016.0134310
VT
390200000X
Student in an Organized Health Care Education/Training Program
13597
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/26/2022
Last updated
10/17/2024
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