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Organization
FAVELA DENTAL CORP.
Active
Organization
FAVELA DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA VO (OFFICE MANAGER)
(949) 499-1200
Entity
Organization
Contact information
Practice address
26895 ALISO CREEK ROAD, SUITE B-712, ALISO VIEJO, CA 92656-5301
(949) 499-1200
(949) 499-2266
Mailing address
26895 ALISO CREEK RD STE B-712, ALISO VIEJO, CA 92656-5301
(949) 499-1200
(949) 499-2266
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42310
CA
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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