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1063600393
BERTHA AMERICA FAVELA
LAGUNA BEACH, CA
NPI
1063600393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 42310)
Enumeration Date
2007-10-11
Last Update Date
2007-10-11
Business Address
-- BERTHA AMERICA FAVELA dds
30814 COAST HWY
LAGUNA BEACH, CA 92651-8136
Phone number: 949-499-1200
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Mailing Address
-- BERTHA AMERICA FAVELA dds
26895 ALISO CREEK RD
ALISO VIEJO, CA 92656-5301
Phone number: 949-499-1200
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