Organization
AVALON DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARHAM FARHI DDS (OWNER DR.)
(267) 312-3184
Entity
Organization
Contact information
Practice address
6 LARCH AVE, UNIT 402, WILMINGTON, DE 19804-2300
(302) 999-8822
Mailing address
6 LARCH AVE, UNIT 402, WILMINGTON, DE 19804-2300
(302) 999-8822
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
G1-0001200
DE
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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