Individual
DR. HORACIO FAVELA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2625 MCNUTT RD, SUNLAND PARK, NM 88063-9608
(575) 589-1500
Mailing address
5877 ACACIA CIR APT 1218, EL PASO, TX 79912-4877
(915) 204-1903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD5312
NM
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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