Healthcare Provider Details

I. General information

NPI: 1437728599
Provider Name (Legal Business Name): ARIEL WOYTANOWSKI DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2021
Last Update Date: 06/23/2021
Certification Date: 06/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4604 N UNIVERSITY DR
CORAL SPRINGS FL
33067-4628
US

IV. Provider business mailing address

9850 W MCNAB RD
TAMARAC FL
33321-3366
US

V. Phone/Fax

Practice location:
  • Phone: 954-753-6100
  • Fax:
Mailing address:
  • Phone: 973-224-0922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN25938
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: