MICHAEL THOMAS FAVALORO

LUTCHER, LA
NPI1932290160
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  5718)
Enumeration Date2006-09-26
Last Update Date2007-07-08
Business Address
Dr. MICHAEL THOMAS FAVALORO d d s
2024 WEST MAIN STREET
LUTCHER, LA 70071
Phone number: 225-869-8281
Mailing Address
Dr. MICHAEL THOMAS FAVALORO d d s
3500 REDWOOD LN
PAULINA, LA 70763-2320
Phone number: 225-869-4811
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