Provider Demographics
NPI:1730283870
Name:MASOOD, FARAH (BDS, MS)
Entity Type:Individual
Prefix:DR
First Name:FARAH
Middle Name:
Last Name:MASOOD
Suffix:
Gender:F
Credentials:BDS, MS
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF OKLAHOMA COLLEGE OF DENTISTRY
Mailing Address - Street 2:1201 NORTH STONEWALL AVE.
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73190
Mailing Address - Country:US
Mailing Address - Phone:405-271-5988
Mailing Address - Fax:405-271-3158
Practice Address - Street 1:UNIVERSITY OF OKLAHOMA COLLEGE OF DENTISTRY
Practice Address - Street 2:1201 NORTH STONEWALL AVE.
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73190
Practice Address - Country:US
Practice Address - Phone:405-271-5988
Practice Address - Fax:405-271-3158
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK11223X0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0008XDental ProvidersDentistOral and Maxillofacial Radiology