Individual
DR. BYRON DEREK FARNSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
2947 N POWER RD, STE. E103, MESA, AZ 85215-1749
(480) 283-5854
Mailing address
2947 N POWER RD, STE. E103, MESA, AZ 85215-1749
(480) 283-5854
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008149
AZ
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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