Individual
DR. RONALD FARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1201 N STONEWALL AVE, OKLAHOMA CITY, OK 73117-1214
(405) 271-5714
(405) 271-2405
Mailing address
1201 N STONEWALL AVE STE 286, OKLAHOMA CITY, OK 73117-1214
(405) 271-4333
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
6433
OK
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
6
OK
1223P0106X
Oral and Maxillofacial Pathology Dentistry
6433
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200006220A
—
OK
Enumeration date
07/20/2012
Last updated
06/11/2024
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