| NPI | 1467546689 |
|---|---|
| Other Name | JOHN PHILLIP LAVIERI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 021001234 OMS Licens) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: IL 019017137) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-04-04 |