Individual
DR. JODI KODISH-STAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-7214
(954) 262-7355
Mailing address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-1920
(954) 262-1782
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0009253
FL
Other
Enumeration date
04/05/2006
Last updated
10/24/2022
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