Organization
JEAN L FARBOD DDS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN FARBOD DDS (PRESIDENT)
(906) 236-0147
Entity
Organization
Contact information
Practice address
125 N PANSY ST, ISHPEMING, MI 49849-3015
(906) 485-5575
Mailing address
1777 STATE HIGHWAY M28 E, MARQUETTE, MI 49855-9525
(906) 236-0147
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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