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1205100856
MARTIAL ISAAC LAVANT
BRONX, NY
NPI
1205100856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2012-02-29
Last Update Date
2012-02-29
Business Address
Dr. MARTIAL ISAAC LAVANT DDS
1770 GRAND CONCOURSE APT 2F
BRONX, NY 10457-5526
Phone number: 718-901-8110
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Mailing Address
Dr. MARTIAL ISAAC LAVANT DDS
1770 GRAND CONCOURSE APT 2F
BRONX, NY 10457-5526
Phone number: 718-901-8110
Copy
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