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Individual

LARRY DOBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
119 W 57TH ST, SUITE 415, NEW YORK, NY 10019-2303
(212) 757-1457
(212) 757-9209
Mailing address
145 E 84TH ST, NEW YORK, NY 10028-2050
(212) 757-1457

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
031607
NY

Other

Enumeration date
01/19/2007
Last updated
07/08/2007
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