Individual
EDO LAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
260 AVENUE X, BROOKLYN, NY 11223-5940
(718) 336-8855
(718) 336-4366
Mailing address
260 AVENUE X, BROOKLYN, NY 11223-5940
(718) 336-8855
(718) 336-4366
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
049202
NY
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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