Individual
RAYMOND FAHRENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5501 OLD YORK RD STE 1, PHILADELPHIA, PA 19141-3098
(215) 707-7541
Mailing address
5501 OLD YORK RD STE 1, PHILADELPHIA, PA 19141-3098
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9964
SC
122300000X
Dentist
Primary
DS045340
PA
Other
Enumeration date
07/08/2021
Last updated
05/19/2026
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