# ISAAC LAVANT DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ITALIAN SMILES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205291606
- **Authorized official:** DR. MARTIAL ISAAC LAVANT DDS (OWNER)
- **Authorized official phone:** (602) 791-2650

## Contact information

- **Practice address:** 18275 N 59TH AVE, 128, GLENDALE, AZ 85308-1260
- **Practice address phone:** (602) 791-2650
- **Mailing address:** 18275 N 59TH AVE, 128, GLENDALE, AZ 85308-1260
- **Mailing address phone:** (602) 791-2650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D008894 | AZ | Yes |

## Other

- **Enumeration date:** 12/30/2015
- **Last updated:** 12/30/2015