Bertha America Favela III DDS

NPI 1063600393 - Dentist - 122300000X

NPI Details
NPI 1063600393
Gender Female
Enumeration Date 10/11/2007
Last Updated 10/11/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
30814 COAST HWY
LAGUNA BEACH CA, 92651-8136, US
Phone (949) 499-1200
Fax
Business Location
26895 ALISO CREEK RD
ALISO VIEJO CA, 92656-5301, US
Phone (949) 499-1200
Fax
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 42310
Remove 1063600393 NPI Number
 

According to our database, Bertha America Favela III DDS NPI is 1063600393, taxonomy code is 122300000X and license number is 42310, license state is located at California. Bertha America Favela III DDS physically located at 30814 Coast Hwy, Laguna Beach CA, 92651-8136. NPI Number Bertha America Favela III DDS has the Individual type.

Sponsored links

1063600393 NPI number is provided on an as is basis without warranty of any kind. 1063600393 is maintained by the National Plan & Provider Enumeration System. The contents of Bertha America Favela III DDS are for informational purposes only.