Abc Dental
Dentist, General Practice in Hollywood, FL. Organization (NPI-2).
NPI number1326342957
StatusActive
Last updated in NPPESDec 22, 2010
Details
- NPI
- 1326342957
- Entity type
- Organization (NPI-2)
- Legal business name
- Abc Dental
- Organization subpart
- No
- Enumeration date
- Dec 22, 2010
- Last updated
- Dec 22, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | dn15160 | FL | Yes |
Practice location
650 S Federal HwySuite 2
Hollywood, FL 33020-5422
Phone 954-342-8315
Mailing address
650 S Federal HwySuite 2
Hollywood, FL 33020-5422
Phone 954-342-8315
Authorized official
Dmitry Gorbatov
Owner
9543428315
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