| Edwin L Farrar, Dds Inc | |
|
630 Lexington Ave Mansfield OH 44907-1500 | |
| (419) 756-0711 | |
| (419) 756-4886 |
| Full Name | Edwin L Farrar, Dds Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 630 Lexington Ave, Mansfield, Ohio |
| Authorized Official Name and Position | Randi Patricia Bittle (OFFICE MANAGER) |
| Authorized Official Contact | 4197560711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edwin L Farrar, Dds Inc 630 Lexington Ave Mansfield OH 44907-1500 Ph: (419) 756-0711 | Edwin L Farrar, Dds Inc 630 Lexington Ave Mansfield OH 44907-1500 Ph: (419) 756-0711 |
| NPI Number | 1780776575 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 08/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780776575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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