Individual
INNA SAPOZHNIKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5443 W ATLANTIC BLVD, MARGATE, FL 33063-5210
(786) 737-0033
Mailing address
5443 W ATLANTIC BLVD, MARGATE, FL 33063-5210
(954) 287-2548
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN24728
FL
1223G0001X
General Practice Dentistry
047396
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02366127
—
NY
Enumeration date
12/27/2006
Last updated
10/10/2022
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