Farwest Dental Group
NPI #1891910394 in Wilmington, California
Provider Information
- NPI Number
- 1891910394
- Entity Type
- Organization
- Organization Name
- Farwest Dental Group
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 17, 2007
- Last Updated
- May 2, 2017
Practice Location
- Address
- 1704 N AVALON BLVD
- City
- Wilmington
- State
- California
- ZIP Code
- 90744
- Phone
- (310) 835-5130
Authorized Official
- Name
- DR. HASSAN M FAYOUMI, DDS
- Title
- PARTNER
- Phone
- (310) 835-5130
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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