Individual
DR. DOUGLAS MICHAEL FARRAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
440 SOUTH POPLAR STREET, KENTON, TN 38233-3622
(731) 749-5321
Mailing address
809 TILGHMAN STREET, P.O. BOX 57, KENTON, TN 38233-0057
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3773
TN
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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