Individual
MR. DMITRY GORBATOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2100 E HALLANDALE BEACH BLVD, SUITE 309, HALLANDALE BEACH, FL 33009-3765
(954) 457-8308
(954) 457-8309
Mailing address
3800 SOUTH OCEAN DR. #210, HOLLYWOOD, FL 33019
(954) 458-9999
(954) 639-7262
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15160
FL
Other
Enumeration date
11/01/2006
Last updated
06/02/2016
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