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1265641732
SCOTT ADDISON FAUVELL
MINEOLA, NY
NPI
1265641732
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist Oral and Maxillofacial Surgery
(Licence: NY 050443)
Enumeration Date
2007-05-22
Last Update Date
2008-11-26
Business Address
DR. SCOTT ADDISON FAUVELL DDS
134 MINEOLA BLVD FL 3
MINEOLA, NY 11501-3959
Phone number: 516-294-9696
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Mailing Address
DR. SCOTT ADDISON FAUVELL DDS
134 MINEOLA BLVD
MINEOLA, NY 11501
Phone number: 516-294-9696
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