Individual
MR. BORIS LIPOVETSKIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
104 SE 1ST ST, FORT LAUDERDALE, FL 33301-1924
(954) 525-5662
(954) 525-5251
Mailing address
104 SE 1ST ST, FORT LAUDERDALE, FL 33301-1924
(954) 525-5662
(954) 525-5251
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18645
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0278238
—
MA
Enumeration date
02/21/2007
Last updated
10/26/2020
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