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1922336767
ROBERT DAVERSA
WESTBURY, NY
NPI
1922336767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NY 040940)
Enumeration Date
2009-12-04
Last Update Date
2009-12-04
Business Address
Dr. ROBERT DAVERSA DDS
466 CANTERBURY ST
WESTBURY, NY 11590-1341
Phone number: 516-333-1954
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Mailing Address
Dr. ROBERT DAVERSA DDS
466 CANTERBURY ST
WESTBURY, NY 11590-1341
Phone number: 516-333-1954
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