Individual
DR. NATHANIAL EDWARD FARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1056 S VAL VISTA DR STE 103, MESA, AZ 85204-5667
(480) 832-1375
Mailing address
1056 S VAL VISTA DR STE 103, MESA, AZ 85204-5667
(480) 832-1375
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
6758
WI
1223P0700X
Prosthodontics
Primary
D009976
AZ
1223P0700X
Prosthodontics
RES.2744
OH
Other
Enumeration date
04/10/2011
Last updated
06/13/2022
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