# FAV-ULOUS DENTAL PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FAV-ULOUS DENTAL PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578008736
- **Legal business name:** FAV-ULOUS DENTAL PLLC
- **Authorized official:** MRS. FABIOLA GARCIA DE ROCHA DDS (DENTIST)
- **Authorized official phone:** (713) 468-1400

## Contact information

- **Practice address:** 8762 LONG POINT RD, 102, HOUSTON, TX 77055-3030
- **Practice address phone:** (713) 468-1400
- **Practice address fax:** (713) 468-8146
- **Mailing address:** 8762 LONG POINT RD, 102, HOUSTON, TX 77055-3030
- **Mailing address phone:** (713) 468-1400
- **Mailing address fax:** (713) 468-8146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 30122 | TX | Yes |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223E0200X | Endodontics | — | NULL | — |
| 1223E0200X | Endodontics | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | NULL | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |
| 124Q00000X | Dental Hygienist | — | NULL | — |
| 124Q00000X | Dental Hygienist | — | — | — |
| 126800000X | Dental Assistant | — | NULL | — |
| 126800000X | Dental Assistant | — | — | — |

## Other

- **Enumeration date:** 12/27/2016
- **Last updated:** 12/27/2016