Individual
DR. CHRISTOPHER MARTIN FARNSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2947 N POWER RD STE 103, MESA, AZ 85215-1750
(480) 283-5854
(480) 807-3649
Mailing address
2947 N POWER RD STE 103, MESA, AZ 85215-1750
(480) 283-5854
(480) 807-3649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5821
AZ
1223G0001X
General Practice Dentistry
DD2209
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201438729
TAX ID
NM
01
—
450563966
TAX ID
AZ
Enumeration date
10/12/2005
Last updated
04/15/2015
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