Provider Demographics
NPI:1689667693
Name:MCFARLAND, LAURA SIRUS (DDS)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:SIRUS
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9785 GRACELAND WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-3516
Mailing Address - Country:US
Mailing Address - Phone:858-484-4541
Mailing Address - Fax:
Practice Address - Street 1:9785 GRACELAND WAY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92129-3516
Practice Address - Country:US
Practice Address - Phone:858-484-4541
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA517611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice