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NPI Code Detail

MEDICARE: ESTER KHVILIVITZKY DDS

MEDICARE:   ESTER  KHVILIVITZKY  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDN19174FL

General Provider Information

NPI Number : 1255633541
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTER KHVILIVITZKY DDS
Provider Business Mailing Address
First Line : 9150 NW 38TH DR APT 310
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33065-4366
Country : US
Telephone Number : 917-603-8710
Fax Number :
Provider Business Practice Location Address
First Line : 900 NW 31ST AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33311-6653
Country : US
Telephone Number : 954-332-7546
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2010
Last Update Date : 03/17/2018

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Directions to “ ESTER KHVILIVITZKY DDS” Practice Location

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