DR. Chadi Farag

NPI #1811557457 in Salem, Wisconsin

Provider Information

NPI Number: 1811557457
Entity Type: Individual
Name: DR. Chadi Farag
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 17, 2019
Last Updated: Jun 17, 2019

Practice Location

Address: 25620 75TH STREET
City: Salem
State: Wisconsin
ZIP Code: 53168

Specialties & Taxonomy Codes

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

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