Organization
STAVISKY ORTHODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANYA STAVISKY DDS (OWNER)
(609) 405-0541
Entity
Organization
Contact information
Practice address
1171 E LANDIS AVE, VINELAND, NJ 08360-4200
(856) 691-7142
Mailing address
1171 E LANDIS AVE, VINELAND, NJ 08360-4200
(856) 691-7142
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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