Individual
DR. AVA THAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
342 E 67TH ST, NEW YORK, NY 10065-6238
(212) 734-4298
Mailing address
342 E 67TH ST, NEW YORK, NY 10065-6238
(212) 734-4298
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
039001-1
NY
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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