Individual
DINA KISANOVA LIPKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4267 W COMMERCIAL BLVD, TAMARAC, FL 33319-3305
(954) 677-3202
Mailing address
7441 WAYNE AVE APT 2C, MIAMI BEACH, FL 33141-2539
(305) 244-6015
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN26139
FL
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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