Individual
DR. CONSTANTIN F FARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
4410 EXECUTIVE CIR NW, CANTON, OH 44718-2983
(330) 494-7004
(330) 494-7071
Mailing address
4410 EXECUTIVE CIR NW, CANTON, OH 44718-2983
(330) 494-7004
(330) 494-7071
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30-01-8501
OH
Other
Enumeration date
04/13/2006
Last updated
09/18/2007
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