Individual
DR. GUY ANDREW FAVALORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
600 MAIN ST, SUITE 260, LA PLACE, LA 70068-4500
(985) 652-2178
(985) 652-2120
Mailing address
600 MAIN ST, SUITE 260, LA PLACE, LA 70068-4500
(985) 652-2178
(985) 652-2120
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1836
LA
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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