Favela Dental Corp.
NPI #1992028708 in Aliso Viejo, California
Provider Information
- NPI Number
- 1992028708
- Entity Type
- Organization
- Organization Name
- Favela Dental Corp.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 8, 2010
- Last Updated
- Mar 8, 2010
Practice Location
- Address
- 26895 ALISO CREEK ROAD, SUITE B-712
- City
- Aliso Viejo
- State
- California
- ZIP Code
- 92656-5301
- Phone
- (949) 499-1200
Authorized Official
- Name
- MRS. LISA VO
- Title
- OFFICE MANAGER
- Phone
- (949) 499-1200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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