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Individual

JAMES FARRIS ADJAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
696 HIGHWAY 71 W, SUITE 4D, BASTROP, TX 78602-4009
(512) 321-5437
(888) 317-1936
Mailing address
696 HIGHWAY 71 W, SUITE 4D, BASTROP, TX 78602-4009
(512) 321-5437
(888) 317-1936

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
30022364
OH
1223P0221X
Pediatric Dentistry
Primary
25351
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2121196-01
TX
01
260135218044
CARE SOURCE
OH
05
2732289
OH
01
9199964
DORAL
OH
Enumeration date
03/21/2007
Last updated
11/04/2011
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