Individual
OLA FARRAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 W FOSTER AVE STE 201, STATE COLLEGE, PA 16801-4867
(814) 234-8224
(814) 234-8827
Mailing address
112 W FOSTER AVE STE 201, STATE COLLEGE, PA 16801-4867
(814) 234-8224
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS043120
PA
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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