Bertha America Favela III, DDS
NPI #1063600393 in Laguna Beach, California
Provider Information
- NPI Number
- 1063600393
- Entity Type
- Individual
- Name
- Bertha America Favela III, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Oct 11, 2007
- Last Updated
- Oct 11, 2007
Practice Location
- Address
- 30814 COAST HWY
- City
- Laguna Beach
- State
- California
- ZIP Code
- 92651-8136
- Phone
- (949) 499-1200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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