Individual
DR. COURTNEY MICHEL FAVALORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9757 WHITE ROCK TRL, DALLAS, TX 75238-1805
(214) 349-9400
Mailing address
5841 ORAM ST UNIT 3, DALLAS, TX 75206-7229
(713) 829-2337
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
40999
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/28/2022
Last updated
10/02/2024
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