Organization
ENVISION DENTAL GROUP
Active
Parent organization
VLADIMIR JOVIC DMD PA
Other names
ICP Dental Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
VLADIMIR JOVIC DMD PA
Authorized official
VLADIMIR JOVIC (PRESIDENT)
(407) 592-8520
Entity
Organization
Contact information
Practice address
3695 W BOYNTON BEACH BLVD, SUITE #5, BOYNTON BEACH, FL 33436-4516
(561) 734-0505
(561) 734-0506
Mailing address
4835 GABRIELLA LN, OVIEDO, FL 32765-8695
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN 17952
—
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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