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DR. MICHAEL JOHN FARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5920 CUBERO DR. NE, ALBUQUERQUE, NM 87109
(505) 822-0663
(505) 797-0531
Mailing address
6113 QUEMADO NE, ALBUQUERQUE, NM 87109
(505) 856-7682
(505) 797-0531

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1480
NM

Other

Enumeration date
07/18/2006
Last updated
07/08/2007
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