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1306121173
ROZA N GAVRILOV
PLAINVIEW, NY
NPI
1306121173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 040688-1)
Enumeration Date
2011-10-12
Last Update Date
2011-10-12
Business Address
Dr. ROZA N GAVRILOV DDS
40 MARILYN BLVD
PLAINVIEW, NY 11803-1945
Phone number: 516-938-5625
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Mailing Address
Dr. ROZA N GAVRILOV DDS
40 MARILYN BLVD
PLAINVIEW, NY 11803-1945
Phone number: 516-938-5625
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