Provider Demographics
NPI:1114234770
Name:FARFEL, ELENA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ELENA
Middle Name:
Last Name:FARFEL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4451 N RANCHO DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-3405
Mailing Address - Country:US
Mailing Address - Phone:702-313-6868
Mailing Address - Fax:702-313-6873
Practice Address - Street 1:4451 N RANCHO DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-3405
Practice Address - Country:US
Practice Address - Phone:702-313-6868
Practice Address - Fax:702-313-6873
Is Sole Proprietor?:No
Enumeration Date:2010-09-02
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5999122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist