Individual
R KEITH FARR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4540 E BASELINE RD, STE 111, MESA, AZ 85206-4616
(480) 834-8035
(480) 833-5378
Mailing address
4540 E BASELINE RD, STE 111, MESA, AZ 85206-4616
(480) 834-8035
(480) 833-5378
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AZ3604
AZ
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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