Rene A Farah, R.D.H.

NPI #1720455496 in Lakewood, Wisconsin

Provider Information

NPI Number: 1720455496
Entity Type: Individual
Name: Rene A Farah, R.D.H.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: R.D.H.
Enumeration Date: Aug 28, 2015
Last Updated: Aug 28, 2015

Practice Location

Address: 15397 STATE HIGHWAY 32
City: Lakewood
State: Wisconsin
ZIP Code: 54138-9702
Phone: (715) 276-6321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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