Individual
DR. CARL E LAVORATA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1036 W JERICHO TPKE, SMITHTOWN, NY 11787-3208
(631) 543-4433
(631) 543-2540
Mailing address
4 PINE ST, COMMACK, NY 11725-4811
(631) 864-3814
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
040960
NY
Other
Enumeration date
07/03/2005
Last updated
07/08/2007
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