Individual
DR. P. SCOTT FAVERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
1603 EUREKA RD, SUITE 400, ROSEVILLE, CA 95661-3028
(916) 782-2332
Mailing address
1603 EUREKA RD, SUITE 400, ROSEVILLE, CA 95661-3028
(916) 782-2332
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
29588
CA
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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