Organization
FARBOD DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN FARBOD DDS (DENTAL DIRECTOR)
(619) 435-3185
Entity
Organization
Contact information
Practice address
120 C AVE STE 150, CORONADO, CA 92118-1990
(619) 435-3185
Mailing address
1777 M 28 E, MARQUETTE, MI 49855-9525
(906) 236-0147
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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