| Zlata Bavli Dds Pc | |
|
1000 South Elmora Ave Z Bavli Dds Pc Elizabeth NJ 07202 | |
| (908) 436-0100 | |
| (908) 436-0295 |
| Full Name | Zlata Bavli Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 1000 South Elmora Ave, Elizabeth, New Jersey |
| Authorized Official Name and Position | Zlata G Bavli (OWNER OFFICER) |
| Authorized Official Contact | 9084360100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zlata Bavli Dds Pc 1000 South Elmora Ave Suite 1e Zhata Bavli Dds Pc Elizabeth NJ 07202 Ph: (908) 436-0100 | Zlata Bavli Dds Pc 1000 South Elmora Ave Z Bavli Dds Pc Elizabeth NJ 07202 Ph: (908) 436-0100 |
| NPI Number | 1407967086 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 06/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407967086 | NPI | - | NPPES |
| 7277601 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DI19395 (New Jersey) | Primary |
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