Individual
DR. FARAH HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D, B.D.S
Contact information
Practice address
2475 W INTERNATIONAL SPEEDWAY BLVD, DAYTONA BEACH, FL 32114-1117
(386) 252-9600
Mailing address
275 GALA CIR, DAYTONA BEACH, FL 32124-2013
(386) 679-0371
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20002
FL
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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