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Organization
ISAAC LAVANT DDS PLLC
Active
Organization
ISAAC LAVANT DDS PLLC
Active
Other names
ITALIAN SMILES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIAL ISAAC LAVANT DDS (OWNER)
(602) 791-2650
Entity
Organization
Contact information
Practice address
18275 N 59TH AVE, 128, GLENDALE, AZ 85308-1260
(602) 791-2650
Mailing address
18275 N 59TH AVE, 128, GLENDALE, AZ 85308-1260
(602) 791-2650
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008894
AZ
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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