Organization
AVL DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLA V LITVINOVA (OWNER)
(212) 281-9200
Entity
Organization
Contact information
Practice address
163 W 145TH ST, NEW YORK, NY 10039-4234
(212) 281-9200
(212) 281-9222
Mailing address
163 W 145TH ST, NEW YORK, NY 10039-4234
(212) 281-9200
(212) 281-9222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
044720
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01435432
—
NY
Enumeration date
11/21/2006
Last updated
10/24/2007
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