Individual
MR. ANDREW RICHARD FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
105 WAYFARER CT, ROCKY MOUNT, NC 27801-6282
(252) 977-6440
Mailing address
105 WAYFARER CT, ROCKY MOUNT, NC 27801-6282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8206
NC
Other
Enumeration date
01/16/2007
Last updated
08/05/2007
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