Individual
LAURA FARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, PHDHP
Contact information
Practice address
471 HEPBURN ST, WILLIAMSPORT, PA 17701-6122
(570) 567-5400
Mailing address
555 STATE ROUTE 54, MONTGOMERY, PA 17752-9021
(570) 506-5423
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH011683L
PA
124Q00000X
Dental Hygienist
PHDH001004
PA
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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