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Individual

DR. OLIN FIELDS FARRIOR JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
716 STEVENS AVE, PORTLAND, ME 04103-2670
(207) 221-4722
(207) 523-1915
Mailing address
716 STEVENS AVE, 221, PORTLAND, ME 04103-2670
(207) 221-4722
(207) 523-1915

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DN013731
GA
1223G0001X
General Practice Dentistry
Primary
DEN4362
ME

Other

Enumeration date
06/13/2008
Last updated
08/25/2014
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