Abanub Farag

NPI #1124691936 in West Covina, California

Provider Information

NPI Number: 1124691936
Entity Type: Individual
Name: Abanub Farag
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jul 20, 2021
Last Updated: Jul 20, 2021

Practice Location

Address: 2616 LAKEMOOR PL
City: West Covina
State: California
ZIP Code: 91792-1934
Phone: (626) 482-6021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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