Individual
DR. JEFFREY K. FAVERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3500 HARRISON BLVD, SUITE 104, OGDEN, UT 84403-2058
(801) 621-4943
(801) 621-3608
Mailing address
3500 HARRISON BLVD, SUITE 104, OGDEN, UT 84403-2058
(801) 621-4943
(801) 621-3608
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
141726
UT
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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