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1023136843
TANYA STAVISKY
VINELAND, NJ
NPI
1023136843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: NJ 21163)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
TANYA STAVISKY DMD
1171 E LANDIS AVE
VINELAND, NJ 08360-4200
Phone number: 856-691-7142
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Mailing Address
TANYA STAVISKY DMD
32 JEFFERSON AVE
HADDONFIELD, NJ 08033-3410
Phone number:
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