Bacchus, Fareeda

Bacchus, Fareeda is an individual health care provider with primary practice located at 2121 E Oltorf St , Austin TX 78741-4500. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Bacchus, Fareeda can be contacted via phone (949) 800-9524.

Contact Information

Primary practice address
2121 E Oltorf St Austin TX 78741-4500
Phone: (949) 800-9524
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 33831 Texas

Profile Details

NPI number 1053864983
LBN Legal business name Bacchus, Fareeda
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2016
Last updated Nov 19th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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