Jack Charles Farrell, DDS

NPI #1134134562 in Phoenix, Arizona

Provider Information

NPI Number
1134134562
Entity Type
Individual
Name
Jack Charles Farrell, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jul 31, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1820 W THUNDERBIRD RD
State
Arizona
ZIP Code
85023
Phone
(602) 993-6080

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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