Individual
DR. CHADI FARAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25620 75TH STREET, SALEM, WI 53168
Mailing address
25620 75TH STREET, SALEM, WI 53168
(262) 843-1808
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002106-15
WI
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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