DR. Roza N Gavrilov, DDS

NPI #1306121173 in Plainview, New York

Provider Information

NPI Number: 1306121173
Entity Type: Individual
Name: DR. Roza N Gavrilov, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 12, 2011
Last Updated: Oct 12, 2011

Practice Location

Address: 40 MARILYN BLVD
City: Plainview
State: New York
ZIP Code: 11803-1945
Phone: (516) 938-5625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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