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Individual

FREDERIC LAVOIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1060 MAIN ST, SUITE 100, RIVER EDGE, NJ 07661-2591
(201) 342-3600
Mailing address
180 RIVERSIDE BLVD, APT. 11-M, NEW YORK, NY 10069-0801

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DI02304800
NJ

Other

Enumeration date
05/08/2007
Last updated
07/08/2007
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