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1508508540
IDAN YEHEZKEL LAVIAN
WHITE PLAINS, NY
NPI
1508508540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-11
Last Update Date
2023-11-22
Business Address
Mr. IDAN YEHEZKEL LAVIAN DDS
19 SOUTH BROADWAY
WHITE PLAINS, NY 10601
Phone number: 914-948-0088
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Mailing Address
Mr. IDAN YEHEZKEL LAVIAN DDS
600 WEST 239TH STREET APT 3M
BRONX, NY 10463
Phone number: 516-305-7713
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