Doctor Name: | CHRISTOPHER MARKO FARAC |
NPI Number: | 1083772842 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DMD |
License Number: | 8365 |
Business Practice Address: | 13120 Ne 70th Pl Suite 2 Kirkland, WA - 98033 |
Business Phone Number: | 4258898884 |
Business Fax Number: | 4258899464 |
Mailing Address: | 13120 Ne 70th Pl, Suite 2 KIRKLAND |
State: | WA |
Postal Code: | 98033 |
Phone Number: | 4258898884 |
Fax Number: | 4258899464 |
NPI Enumeration Date: | 12/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 8365 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |