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Individual
DR. STEPHEN B FAVERO
Active
Individual
DR. STEPHEN B FAVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2013034508
MO
122300000X
Dentist
63303
CA
1223G0001X
General Practice Dentistry
Primary
38246
TX
Other
Enumeration date
09/18/2013
Last updated
09/02/2022
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