Stavisky Orthodontics Pc | |
1171 E Landis Ave Vineland NJ 08360-4200 | |
(856) 691-7142 | |
Not Available |
Full Name | Stavisky Orthodontics Pc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1171 E Landis Ave, Vineland, New Jersey |
Authorized Official Name and Position | Tanya Stavisky (OWNER) |
Authorized Official Contact | 6094050541 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stavisky Orthodontics Pc 1171 E Landis Ave Vineland NJ 08360-4200 Ph: (856) 691-7142 | Stavisky Orthodontics Pc 1171 E Landis Ave Vineland NJ 08360-4200 Ph: (856) 691-7142 |
NPI Number | 1255070025 |
---|---|
Provider Enumeration Date | 05/31/2022 |
Last Update Date | 05/31/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255070025 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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