Kambasha, Farai

Kambasha, Farai is an individual health care provider with primary practice located at 4024 Blackhawk Road , Rock Island IL 61201. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kambasha, Farai can be contacted via phone (309) 788-6689.

Contact Information

Primary practice address
4024 Blackhawk Road Rock Island IL 61201
Phone: (309) 788-6689
Fax: (309) 788-7238
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Illinois

Profile Details

NPI number 1730308958
LBN Legal business name Kambasha, Farai
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Jul 8th, 2007 - about 17 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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