THEODORE DAVANTZIS

BAYSIDE, NY
NPI1902991482
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  39082)
Enumeration Date2006-10-03
Last Update Date2007-07-08
Business Address
Dr. THEODORE DAVANTZIS DDS
200-12 44TH AVENUE
BAYSIDE, NY 11361
Phone number: 718-279-9700
Mailing Address
Dr. THEODORE DAVANTZIS DDS
200-12 44TH AVENUE
BAYSIDE, NY 11361
Phone number: 718-279-9700