NPI 1053770321

Farah Yasmeen Fnu

Practitioner General Practice Dentistry Dawsonville, GA

Practice location

Address: 166 Crossroads Blvd STE 100, Dawsonville, GA 30534-7868
Phone: (706) 265-3191
Mailing address: 150 55th St, Brooklyn, NY 11220-2508

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DN015326 (GA)

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Registry record

NPI: 1053770321
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Feb 2016
Record last updated: 19 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.