Individual
DR. SAMER ADNAN FARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
6540 SOUTH AVE, BOARDMAN, OH 44512-3651
(330) 758-6165
Mailing address
800 ROSE STREET D 432, LEXINGTON, KY 40536-1156
(925) 577-6309
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
024623
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0155587
—
OH
Enumeration date
07/26/2013
Last updated
07/21/2022
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