Individual
DR. JACOB JONATHAN LAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2175 E CHEYENNE AVE STE 100, N LAS VEGAS, NV 89030-8438
(702) 363-8889
(702) 566-8883
Mailing address
18034 VENTURA BLVD, ENCINO, CA 91316-3516
(310) 404-8640
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4735T
NV
Other
Enumeration date
08/09/2008
Last updated
08/09/2008
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