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Abanub Farag — NPI 1124691936, West Covina, CA | NPI Central

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NPI 1124691936

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Abanub Farag

NPI 1124691936 · Dentist · West Covina, CA

Provider details

NPI number: 1124691936
Entity type: Individual
Primary specialty: DentistDental Providers
Sex: Male
Sole proprietor: No
License: 106577 (CA)

Specialties & taxonomies

DentistPrimary122300000XLicense 106577 (CA)
Dental Providers

Practice location

2616 Lakemoor Pl

West Covina, CA 91792-1934

Phone: (626) 482-6021

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

2616 Lakemoor Pl

West Covina, CA 91792-1934

Registry dates

Enumerated: 2021-07-20
Last updated: 2021-07-20
Certified: 2021-07-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.