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Organization

GORBATOV AND ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DMITRY GORBATOV PHS,DDS (OWNER)
(954) 457-8308
Entity
Organization

Contact information

Practice address
2100 E HALLANDALE BEACH BLVD, SUITE 309, HALLANDALE BEACH, FL 33009-3765
(954) 457-8308
(954) 457-8309
Mailing address
2100 E HALLANDALE BEACH BLVD, SUITE 309, HALLANDALE BEACH, FL 33009-3765
(954) 457-8308
(954) 457-8309

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15160
FL

Other

Enumeration date
12/13/2010
Last updated
12/13/2010
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