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1902991482
THEODORE DAVANTZIS
BAYSIDE, NY
NPI
1902991482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 39082)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
Dr. THEODORE DAVANTZIS DDS
200-12 44TH AVENUE
BAYSIDE, NY 11361
Phone number: 718-279-9700
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Mailing Address
Dr. THEODORE DAVANTZIS DDS
200-12 44TH AVENUE
BAYSIDE, NY 11361
Phone number: 718-279-9700
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