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Individual

SAM E FARISH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1365B CLIFTON RD NE, STE 2300, ATLANTA, GA 30322
(404) 778-4500
(404) 778-5879
Mailing address
1365B CLIFTON RD NE, STE 2300, ATLANTA, GA 30322
(404) 778-4500
(404) 778-5879

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
7556
GA

Other

Enumeration date
05/01/2006
Last updated
07/08/2007
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