Individual
SONDRA LAVELLE AVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
731 DUNLAWTON AVE STE 105, PORT ORANGE, FL 32127-4237
(386) 304-4620
(386) 304-4618
Mailing address
731 DUNLAWTON AVE STE 105, PORT ORANGE, FL 32127-4237
(386) 304-4620
(386) 304-4618
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN13606
FL
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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