Dr. Khourschid A Favero, DMD
Dentist, General Practice in Denton, TX. Individual provider (NPI-1).
NPI number1063848331
StatusActive
Last updated in NPPESFeb 7, 2024
Details
- NPI
- 1063848331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Khourschid A Favero
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2013
- Certification date
- Feb 7, 2024
- Last updated
- Feb 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 38250 | TX | Yes |
| 122300000X | Dentist | 2013034505 | MO | |
| 122300000X | Dentist | 63302 | CA |
Other names
- Khourschid A Naim (Former Name)
Practice location
3201 Teasley Ln Ste 101Denton, TX 76210-8301
Phone 940-566-2847
Mailing address
3201 Teasley Ln Ste 101Denton, TX 76210-8301
Phone 940-566-2847
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