Individual
DR. CHARLES AVANZATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
280 N CENTRAL AVE, SUITE 130, HARTSDALE, NY 10530-1832
(914) 946-0006
Mailing address
280 N CENTRAL AVE, SUITE 130, HARTSDALE, NY 10530-1832
(914) 946-0006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
034617
NY
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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