Organization
AZOV DENT INC
Active
Other names
Dental Excellence of Englewood
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXEI MIKERIN DDS (PRESIDENT)
(941) 266-5217
Entity
Organization
Contact information
Practice address
2025 SOUTH MCCALL RD, ENGLEWOOD, FL 34241
(941) 474-1245
(941) 475-2411
Mailing address
2025 SOUTH MCCALL RD, ENGLEWOOD, FL 34241
(941) 474-1245
(941) 475-2411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 15210
FL
Other
Enumeration date
06/17/2009
Last updated
10/23/2012
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