| Nicole Farr Dmd Pc | |
|
427 N Larchmont Blvd Los Angeles CA 90004-3013 | |
| (323) 467-1355 | |
| Not Available |
| Full Name | Nicole Farr Dmd Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 427 N Larchmont Blvd, Los Angeles, California |
| Authorized Official Name and Position | Nicole Farr (DENTIST/OWNER/PRESIDENT) |
| Authorized Official Contact | 8186253235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Farr Dmd Pc 427 N Larchmont Blvd Los Angeles CA 90004-3013 Ph: (323) 467-1355 | Nicole Farr Dmd Pc 427 N Larchmont Blvd Los Angeles CA 90004-3013 Ph: (323) 467-1355 |
| NPI Number | 1801441936 |
|---|---|
| Provider Enumeration Date | 08/06/2019 |
| Last Update Date | 08/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801441936 | NPI | - | NPPES |
| 100263 | Other | CA | PPO AND FFS ONLY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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