Mark Lyman Farmer, d.d.s.
Dentist, General Practice in Julesburg, CO. Individual provider (NPI-1).
NPI number1063680098
StatusActive
Last updated in NPPESFeb 12, 2008
Details
- NPI
- 1063680098
- Entity type
- Individual (NPI-1)
- Name
- Mark Lyman Farmer
- Credential
- d.d.s.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 12, 2008
- Last updated
- Feb 12, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | den105667 | CO | Yes |
Practice location
22470 County Road 32.5Julesburg, CO 80737-9662
Phone 970-474-2763
Mailing address
22470 County Road 32.5Julesburg, CO 80737-9662
Phone 970-474-2763
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