Individual
DR. DJORDJE PAVLICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6806 FRESH POND RD, RIDGEWOOD, NY 11385-5241
(718) 366-0775
Mailing address
99 73RD ST, BROOKLYN, NY 11209-1903
(718) 748-4502
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
039897
NY
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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