Individual
DR. THOMAS FAVALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(800) 865-3384
Mailing address
170 BROOKLINE AVE UNIT 314, BOSTON, MA 02215-3921
(630) 746-2831
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858723
MA
Other
Enumeration date
06/22/2020
Last updated
07/13/2020
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