Abanub Farag
Abanub Farag is a Dentist in West Covina, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
2616 Lakemoor PlWest Covina, CA 91792-1934
Phone: (626) 482-6021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 106577 (CA) |
|---|
Record details
| NPI number | 1124691936 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 20, 2021 |
| Last updated in NPPES | July 20, 2021 |
| Certification date | July 20, 2021 |
| Mailing address | 2616 Lakemoor Pl, West Covina, CA 91792-1934 |
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