Individual
DR. CARL FARLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4475 VINELAND AVE STE 2, NORTH HOLLYWOOD, CA 91602-3429
(818) 509-0107
(818) 509-1109
Mailing address
4475 VINELAND AVE STE 2, NORTH HOLLYWOOD, CA 91602-3429
(818) 509-0107
(818) 509-1109
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31604
CA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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