Individual
DR. ALEXANDER SPIVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9200 113TH ST, SEMINOLE, FL 33772-2800
(727) 394-6064
Mailing address
822 GULF BLVD APT 5, INDIAN ROCKS BEACH, FL 33785-2883
(305) 505-7422
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20372
FL
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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