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Individual

LARISA LOZOVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
271 AVENUE U, BROOKLYN, NY 11223-3822
(718) 265-5700
(718) 265-0700
Mailing address
271 AVENUE U, BROOKLYN, NY 11223-3822
(718) 265-0700

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
049867
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02265832
NY
Enumeration date
10/12/2006
Last updated
07/15/2010
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