Individual
MICHAEL GEORGE FARAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
175 CENTRE ST, 810, QUINCY, MA 02169-8600
(617) 319-9248
Mailing address
175 CENTRE ST, 810, QUINCY, MA 02169-8600
(617) 319-9248
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1857399
MA
Other
Enumeration date
08/21/2016
Last updated
01/19/2017
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