Magic Touch Dentistry, P.A.
Dentist, General Practice in Hollywood, FL. Organization (NPI-2).
NPI number1962003269
StatusActive
Last updated in NPPESNov 3, 2020
Details
- NPI
- 1962003269
- Entity type
- Organization (NPI-2)
- Legal business name
- Magic Touch Dentistry, P.A.
- Organization subpart
- No
- Enumeration date
- Nov 3, 2020
- Certification date
- Nov 3, 2020
- Last updated
- Nov 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
2 Oakwood Blvd Ste 150aHollywood, FL 33020-1960
Phone 954-367-7088
Mailing address
2 Oakwood Blvd Ste 150aHollywood, FL 33020-1960
Authorized official
Ilya Freyberg
President
9175193772
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