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1770664336
MITCHELL LOUIS STAVE
LODI, NJ
NPI
1770664336
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NJ DI14674)
Enumeration Date
2006-10-18
Last Update Date
2007-07-08
Business Address
Dr. MITCHELL LOUIS STAVE D.M.D.
374 HARRISON AVE
LODI, NJ 07644-1121
Phone number: 973-340-9047
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Mailing Address
Dr. MITCHELL LOUIS STAVE D.M.D.
374 HARRISON AVE
LODI, NJ 07644-1121
Phone number: 973-340-9047
Copy
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