Individual
DR. EDWIN LEE FARRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
630 LEXINGTON AVE, MANSFIELD, OH 44907-1500
(419) 756-0711
(419) 756-4886
Mailing address
630 LEXINGTON AVE, MANSFIELD, OH 44907-1500
(419) 756-0711
(419) 756-4886
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
17535
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GA9279161
—
OH
Enumeration date
09/29/2006
Last updated
07/09/2007
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