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Individual

ENRIQUE I FARINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
9548 MELROSE SQUARE WAY,, GAITHERSBURG, MD 20882-4425
(301) 801-9478
Mailing address
9548 MELROSE SQUARE WAY, GAITHERSBURG, MD 20882-2718
(301) 801-9478

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15013
MD

Other

Enumeration date
10/20/2011
Last updated
01/04/2017
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