Individual
DR. STEPHEN J KOTKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3939 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6749
(954) 989-5566
(954) 989-5567
Mailing address
3939 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6749
(954) 989-5566
(954) 989-5567
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN5867
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85624
BC-BS
FL
Enumeration date
02/28/2007
Last updated
04/15/2015
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