Individual
LISA PETOFF MAIROWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
514 GARFIELD AVE, AVON BY THE SEA, NJ 07717-1157
(732) 775-1492
(732) 775-1498
Mailing address
514 GARFIELD AVE, AVON BY THE SEA, NJ 07717-1157
(732) 775-1492
(732) 775-1498
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
22DP00650600
NJ
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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