Individual
DR. DAVID TAVELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
Mailing address
365 BRIDGE ST, APT 3-O, BROOKLYN, NY 11201-3807
(917) 309-3961
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50 054064
NY
Other
Enumeration date
06/22/2007
Last updated
11/17/2008
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