| Stavisky Orthodontics Pc | |
|
1171 E Landis Ave Vineland NJ 08360-4200 | |
| (856) 691-7142 | |
| Not Available |
| Full Name | Stavisky Orthodontics Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1171 E Landis Ave, Vineland, New Jersey |
| Authorized Official Name and Position | Tanya Stavisky (OWNER) |
| Authorized Official Contact | 6094050541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stavisky Orthodontics Pc 1171 E Landis Ave Vineland NJ 08360-4200 Ph: (856) 691-7142 | Stavisky Orthodontics Pc 1171 E Landis Ave Vineland NJ 08360-4200 Ph: (856) 691-7142 |
| NPI Number | 1255070025 |
|---|---|
| Provider Enumeration Date | 05/31/2022 |
| Last Update Date | 05/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255070025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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