Individual
FARANEH KHOTANIFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3720 HARDY ST STE 130, HATTIESBURG, MS 39402-1550
(601) 264-2779
Mailing address
3720 HARDY ST STE 130, HATTIESBURG, MS 39402-1550
(601) 264-2779
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
112854
MS
1223G0001X
General Practice Dentistry
Primary
DN123408
GA
Other
Enumeration date
08/22/2022
Last updated
07/14/2026
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