IDAN YEHEZKEL LAVIAN

WHITE PLAINS, NY
NPI1508508540
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-11
Last Update Date2023-11-22
Business Address
Mr. IDAN YEHEZKEL LAVIAN DDS
19 SOUTH BROADWAY
WHITE PLAINS, NY 10601
Phone number: 914-948-0088
Mailing Address
Mr. IDAN YEHEZKEL LAVIAN DDS
600 WEST 239TH STREET APT 3M
BRONX, NY 10463
Phone number: 516-305-7713