Individual
EMILY GRACE FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13005 SW 1ST RD STE 233, JONESVILLE, FL 32669-3266
(352) 436-4215
Mailing address
658 NW 120TH TER APT 207, GAINESVILLE, FL 32607-0678
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN26595
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2021
Last updated
11/07/2022
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