Individual
DR. ALEXANDER TAKSHYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1600 S ANDREWS AVE, DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY, FORT LAUDERDALE, FL 33316-2510
(954) 712-8349
Mailing address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2510
(954) 712-6895
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DRPM2511
FL
Other
Enumeration date
06/23/2022
Last updated
08/11/2024
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