PHILIP LOUIS FAVA

FARMINGTON, CT
NPI1851603419
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2010-07-11
Last Update Date2010-07-11
Business Address
DR. PHILIP LOUIS FAVA D.M.D.
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-2000
Mailing Address
DR. PHILIP LOUIS FAVA D.M.D.
222 CASTLEWOOD DR
BLOOMFIELD, CT 06002-1370
Phone number: 631-875-0922