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1174648927
RAYMUND V FAVIS
FAIRFAX, VA
NPI
1174648927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401007683)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
-- RAYMUND V FAVIS DDS
4103 CHAIN BRIDGE RD B100
FAIRFAX, VA 22030-4107
Phone number: 703-267-6627
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Mailing Address
-- RAYMUND V FAVIS DDS
4103 CHAIN BRIDGE RD B100
FAIRFAX, VA 22030-4107
Phone number: 703-267-6627
Copy
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