Individual
DR. JOHN S CAVALLARO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
315 AVENUE W, BROOKLYN, NY 11223-5218
(718) 336-4646
(718) 336-2320
Mailing address
315 AVENUE W, BROOKLYN, NY 11223-5218
(718) 336-4646
(718) 336-2320
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
039472
NY
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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