Individual
RENE A FARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
15397 STATE HIGHWAY 32, LAKEWOOD, WI 54138-9702
(715) 276-6321
(715) 276-1428
Mailing address
PO BOX 179, LAKEWOOD, WI 54138-0179
(715) 276-6321
(715) 276-1428
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5709
WI
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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