Individual
EDUARDO NICOLAIEVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4308 ALTON RD, SUITE #850, MIAMI BEACH, FL 33140-4556
(305) 538-4556
(305) 538-2019
Mailing address
4308 ALTON RD, SUITE #850, MIAMI BEACH, FL 33140-4556
(305) 538-4556
(305) 538-2019
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
21018
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN 17882
FL
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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