Individual
IGOR BILOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1541 GERONA TER, NORTH PORT, FL 34286-4962
(561) 376-0777
Mailing address
1541 GERONA TER, NORTH PORT, FL 34286-4962
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN22108
FL
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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