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F Mike Farley, DDS, Ps

Clinic/Center, Dental in Federal Way, WA. Organization (NPI-2).

NPI number1801049366
StatusActive
Last updated in NPPESOct 28, 2008

Details

NPI
1801049366
Entity type
Organization (NPI-2)
Legal business name
F Mike Farley, DDS, Ps
Organization subpart
No
Enumeration date
Oct 28, 2008
Last updated
Oct 28, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental4337WAYes

Practice location

1825 S 324th Pl
Federal Way, WA 98003-8505

Phone 253-838-2018

Mailing address

1825 S 324th Pl
Federal Way, WA 98003-8505

Phone 253-838-2018

Authorized official

Forest Michael Farley
President
2538382018

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