Individual
DR. FARAH THEMISTOCLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1000 ASYLUM AVE STE 3200, HARTFORD, CT 06105-1702
(860) 714-5782
Mailing address
166 BOOTH ST, STRATFORD, CT 06614-4906
(914) 882-1929
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14261
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Enumeration date
05/26/2022
Last updated
03/18/2025
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