Individual
DR. LAURENT REVAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2446 CHURCH RD STE 2-4, TOMS RIVER, NJ 08753-8182
(732) 840-4444
Mailing address
525 STIRLING AVE, LAKEWOOD, NJ 08701-3633
(514) 791-9826
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI03025000
NJ
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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