Organization
ABC DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DMITRY GORBATOV PHS,DDS (OWNER)
(954) 342-8315
Entity
Organization
Contact information
Practice address
650 S FEDERAL HWY, SUITE 2, HOLLYWOOD, FL 33020-5422
(954) 342-8315
Mailing address
650 S FEDERAL HWY, SUITE 2, HOLLYWOOD, FL 33020-5422
(954) 342-8315
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15160
FL
Other
Enumeration date
12/22/2010
Last updated
12/22/2010
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