Individual
GEORGY DVALISHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7 GILPIN CT, LAWRENCEVILLE, NJ 08648-2609
(732) 513-8897
Mailing address
7 GILPIN CT, LAWRENCEVILLE, NJ 08648-2609
(732) 513-8897
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI03039300
NJ
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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