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1326185893
EVAN SPIVACK
NEWARK, NJ
NPI
1326185893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: NJ DI 20113)
Enumeration Date
2007-01-31
Last Update Date
2007-07-08
Business Address
DR. EVAN SPIVACK DDS
NJDS-UMDNJ 110 BERGEN ST
NEWARK, NJ 07103
Phone number: 973-972-7040
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Mailing Address
DR. EVAN SPIVACK DDS
911 ALPINE DR
TEANECK, NJ 07666-5542
Phone number: 201-833-4246
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