Individual
CHRISTIAN FAVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1603 EUREKA RD STE 400, ROSEVILLE, CA 95661-3028
(916) 782-2332
Mailing address
1603 EUREKA RD STE 400, ROSEVILLE, CA 95661-3028
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
100950
CA
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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