Individual
DR. AGUSTIN LEPE FARIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 FORT ROOTS DR # 160, VA HOSPITAL DENTAL SERVICE, NORTH LITTLE ROCK, AR 72114-1709
(210) 618-8546
Mailing address
2200 FORT ROOTS DR # 160, VA HOSPITAL DENTAL SERVICE, NORTH LITTLE ROCK, AR 72114-1709
(210) 618-8546
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
44399
CA
Other
Enumeration date
07/13/2008
Last updated
01/23/2014
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