Individual
DR. AHMED FARAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1455 E RIDGE RD, ROCHESTER, NY 14621-2006
(585) 922-4103
Mailing address
1455 E RIDGE RD, ROCHESTER, NY 14621-2006
(585) 922-4103
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019031043
IL
122300000X
Dentist
0401415550
VA
122300000X
Dentist
Primary
059096
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
07/16/2016
Last updated
02/23/2019
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