Individual
JENNA FARRAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17117 DETROIT AVE, LAKEWOOD, OH 44107-3622
(216) 221-0300
Mailing address
5915 PARK RIDGE DR, NORTH OLMSTED, OH 44070-4140
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.027198
OH
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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