Individual
DR. VANITA D FARROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
501 S PRESTON ST, LOUISVILLE, KY 40202-1701
(502) 852-1209
(502) 852-7163
Mailing address
400 E GRAY ST, LOUISVILLE, KY 40202-1740
(502) 574-6759
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6638
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17135
DORAL DENTA
KY
05
—
60066388
—
KY
Enumeration date
06/28/2005
Last updated
07/30/2009
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