| Samer A Faraj Dds Ms Pllc | |
|
23762 Us 59 Ste A Porter TX 77365 | |
| (859) 304-2520 | |
| Not Available |
| Full Name | Samer A Faraj Dds Ms Pllc |
|---|---|
| Speciality | Dentist |
| Location | 23762 Us 59 Ste A, Porter, Texas |
| Authorized Official Name and Position | Samer Adnan Faraj (PRESIDENT / OWNER) |
| Authorized Official Contact | 8593042520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samer A Faraj Dds Ms Pllc 23762 Us 59 Ste A Porter TX 77365 Ph: (859) 304-2520 | Samer A Faraj Dds Ms Pllc 23762 Us 59 Ste A Porter TX 77365 Ph: (859) 304-2520 |
| NPI Number | 1003456716 |
|---|---|
| Provider Enumeration Date | 01/10/2020 |
| Last Update Date | 01/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003456716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Secondary |
| 122300000X | Dentist | (* (Not Available)) | Primary |
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