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Organization
TITOV DENTAL PA
Active
Organization
TITOV DENTAL PA
Active
Other names
Marsh Cove Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVGENY TITOV DMD (OWNER/DENTIST)
(239) 331-3575
Entity
Organization
Contact information
Practice address
6654 COLLIER BLVD UNIT 104, NAPLES, FL 34114-8179
(239) 331-3575
Mailing address
6654 COLLIER BLVD UNIT 104, NAPLES, FL 34114-8179
(239) 331-3575
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
05/11/2021
Last updated
09/27/2021
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