| NPI | 1730256025 |
|---|---|
| Other Name | MANAL LAVACCA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021002135) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019024226) |
| 122300000X Dentist (Licence: NY 0510771) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-10-27 |