Organization
AYMAN K FARAH, DDS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYMAN K FARAH DDS (DENTAIST/OWNER)
(360) 335-8899
Entity
Organization
Contact information
Practice address
3307 EVERGREEN WAY STE 706, WASHOUGAL, WA 98671-2065
(360) 335-8899
Mailing address
3307 EVERGREEN WAY STE 706, WASHOUGAL, WA 98671-2065
(360) 335-8899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7550
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679606115
INDIVIDUAL NPI
WA
Enumeration date
07/21/2010
Last updated
07/21/2010
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