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Organization

FAV-ULOUS DENTAL PLLC

Active
Parent organization
FAV-ULOUS DENTAL PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
FAV-ULOUS DENTAL PLLC
Authorized official
MRS. FABIOLA GARCIA DE ROCHA DDS (DENTIST)
(713) 468-1400
Entity
Organization

Contact information

Practice address
8762 LONG POINT RD, 102, HOUSTON, TX 77055-3030
(713) 468-1400
(713) 468-8146
Mailing address
8762 LONG POINT RD, 102, HOUSTON, TX 77055-3030
(713) 468-1400
(713) 468-8146

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30122
TX
122300000X
Dentist
1223E0200X
Endodontics
1223G0001X
General Practice Dentistry
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
124Q00000X
Dental Hygienist
126800000X
Dental Assistant

Other

Enumeration date
12/27/2016
Last updated
12/27/2016
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