Mark G. O'Farrell, D.D.S. Valid NPI

Individual provider · Dentist · Rock Springs, WY

NPI

1174677900

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

842 (WY)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-01-22

Last updated

2007-07-08