Organization
CENTER FOR ADVANCED PERIODONTAL & IMPLANT CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSTANTIN FARAH DDS, MSD (CEO)
(330) 494-7004
Entity
Organization
Contact information
Practice address
4410 EXECUTIVE CIR NW, CANTON, OH 44718-2983
(330) 494-7004
(330) 494-7071
Mailing address
4410 EXECUTIVE CIR NW, CANTON, OH 44718-2983
(330) 494-7004
(330) 494-7071
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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