Individual
ANASTASIYA PHILIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 W YAMATO RD STE A4, BOCA RATON, FL 33431-4428
(561) 475-2866
Mailing address
1200 W YAMATO RD STE A4, BOCA RATON, FL 33431-4428
(561) 475-2866
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
062112
NY
122300000X
Dentist
Primary
DN29986
FL
Other
Enumeration date
04/09/2020
Last updated
07/24/2026
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