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Organization

ZLATA BAVLI DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ZLATA G BAVLI DDS (OWNER OFFICER)
(908) 436-0100
Entity
Organization

Contact information

Practice address
1000 SOUTH ELMORA AVE, Z BAVLI DDS PC, ELIZABETH, NJ 07202
(908) 436-0100
(908) 436-0295
Mailing address
1000 SOUTH ELMORA AVE, SUITE 1E ZHATA BAVLI DDS PC, ELIZABETH, NJ 07202
(908) 436-0100
(908) 436-0295

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI19395
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7277601
NJ
Enumeration date
08/31/2006
Last updated
06/10/2008
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