JACK CHARLES FARRELL

PHOENIX, AZ
NPI1134134562
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AZ  860371912)
Enumeration Date2006-07-31
Last Update Date2007-07-08
Business Address
-- JACK CHARLES FARRELL DDS
1820 W THUNDERBIRD RD
PHOENIX, AZ 85023
Phone number: 602-993-6080
Mailing Address
-- JACK CHARLES FARRELL DDS
1809 E CASHMAN RD
PHOENIX, AZ 85024
Phone number: 623-328-8064
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