Raymund V Favis, DDS

NPI #1174648927 in Fairfax, Virginia

Provider Information

NPI Number: 1174648927
Entity Type: Individual
Name: Raymund V Favis, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Mar 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4103 CHAIN BRIDGE RD
Address 2: B100
City: Fairfax
State: Virginia
ZIP Code: 22030-4107
Phone: (703) 267-6627

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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