Individual
DR. J. MARK LAVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5620 W THUNDERBIRD RD STE G1, GLENDALE, AZ 85306-4652
(602) 588-2835
(602) 588-2936
Mailing address
5620 W THUNDERBIRD RD STE G1, GLENDALE, AZ 85306-4652
(602) 588-2835
(602) 588-2936
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D2451
AZ
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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