Individual
KASSILEY ADRIANE DE FARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
910 GUADALUPE ST STE A, LAREDO, TX 78040-5280
(956) 884-4840
Mailing address
1632 WILDWOOD RD, MARIETTA, GA 30062-4051
(678) 431-8110
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
STUDENT
GA
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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