# ZLATA BAVLI DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407967086
- **Authorized official:** DR. ZLATA G BAVLI DDS (OWNER OFFICER)
- **Authorized official phone:** (908) 436-0100

## Contact information

- **Practice address:** 1000 SOUTH ELMORA AVE, Z BAVLI DDS PC, ELIZABETH, NJ 07202
- **Practice address phone:** (908) 436-0100
- **Practice address fax:** (908) 436-0295
- **Mailing address:** 1000 SOUTH ELMORA AVE, SUITE 1E ZHATA BAVLI DDS PC, ELIZABETH, NJ 07202
- **Mailing address phone:** (908) 436-0100
- **Mailing address fax:** (908) 436-0295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DI19395 | NJ | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 06/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7277601 | — | NJ |