Individual
DR. LALEH TAVABI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
324 WEST PARK AVE, LONG BEACH, NY 11561-3213
(516) 432-2837
(516) 432-6319
Mailing address
324 WEST PARK AVE, LONG BEACH, NY 11561-3213
(516) 432-2837
(516) 432-6319
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0485291
NY
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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