Organization
MARY F. FARREN, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE FALKOWSKI (OFFICE MANAGER)
(856) 751-6606
Entity
Organization
Contact information
Practice address
1908 SPRINGDALE RD, CHERRY HILL, NJ 08003-2004
(856) 751-6606
(856) 751-6607
Mailing address
1908 SPRINGDALE RD, CHERRY HILL, NJ 08003-2004
(856) 751-6606
(856) 751-6607
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02035100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043228877
INDIVIDUAL NPI
NJ
Enumeration date
08/04/2015
Last updated
08/04/2015
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