Individual provider · Type 1 NPI

Philip Louis Fava Ii, DMD

Student in an Organized Health Care Education/Training Program · Farmington, CT

NPI number 1851603419 Active

Practice location

263 Farmington Ave
Farmington, CT 06030-0001

Call (860) 679-2000 Map

Mailing address

222 Castlewood Dr
Bloomfield, CT 06002-1370

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1851603419

Philip Louis Fava Ii, DMD's National Provider Identifier is 1851603419, issued on Jul 11, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Farmington, CT. The record was last updated on Jul 11, 2010.