NPI 1003027160

Laurie Addvensky, DMD

Practitioner Dentist Ridgewood, NJ

Practice location

Address: 79 W Ridgewood Ave, Ridgewood, NJ 07450-3142
Phone: (201) 652-0060
Fax: (201) 652-7687

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DIO17413 (NJ)

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Registry record

NPI: 1003027160
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.