William Reuel Farnsworth, DDS Valid NPI

Individual provider · Oral and Maxillofacial Surgery (Dentist) · Evansville, IN

NPI

1790813293

Type

Individual (Type 1)

Primary specialty

Oral and Maxillofacial Surgery (Dentist) (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223S0112X

License number

S 42 (MN)

Sex

Male

Sole proprietor

No

Enumerated

2007-02-28

Last updated

2018-03-26