Mohammad El Farra

NPI #1487045720 in Manteca, California

Provider Information

NPI Number: 1487045720
Entity Type: Individual
Name: Mohammad El Farra
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 9, 2015
Last Updated: Feb 9, 2015

Practice Location

Address: 1507 W YOSEMITE AVE
City: Manteca
State: California
ZIP Code: 95337-5159
Phone: (209) 823-9341

Specialties & Taxonomy Codes

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

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