Family Dentistry

NPI #1013143551 in Urbana, Ohio

Provider Information

NPI Number: 1013143551
Entity Type: Organization
Organization Name: Family Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 10, 2009
Last Updated: Jun 10, 2009

Practice Location

Address: 1866 E US HIGHWAY 36
City: Urbana
State: Ohio
ZIP Code: 43078-9600
Phone: (937) 484-5775

Authorized Official

Name: DR. ALI KHAKSARFARD, DDS
Title: OWNER/DOCTOR
Phone: (740) 852-7741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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