Individual
DR. SIMONE FAVOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4016 LEMAY FERRY RD, SAINT LOUIS, MO 63129-1858
(314) 627-0209
Mailing address
1519 TOWER GROVE AVE APT 2006, SAINT LOUIS, MO 63110-2277
(219) 776-7946
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2021021364
MO
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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