Individual
DR. MAURICIO LAVIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
349 E NORTHFIELD RD, SUITE 112, LIVINGSTON, NJ 07039-4802
(973) 740-1277
(973) 740-1808
Mailing address
349 E NORTHFIELD RD, SUITE 112, LIVINGSTON, NJ 07039-4802
(973) 740-1277
(973) 740-1808
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22DIO2261200
NJ
1223P0700X
Prosthodontics
Primary
22DI02261200
NJ
Other
Enumeration date
07/18/2007
Last updated
11/13/2009
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