Healthcare Provider Details
I. General information
NPI: 1699086850
Provider Name (Legal Business Name): ALEKSANDAR VOJDANOSKI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/23/2010
Last Update Date: 10/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
712 US HIGHWAY 1 STE 220
NORTH PALM BEACH FL
33408-4521
US
IV. Provider business mailing address
712 US HIGHWAY 1 STE 220
NORTH PALM BEACH FL
33408-4521
US
V. Phone/Fax
- Phone: 561-881-0067
- Fax:
- Phone: 561-881-0067
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223P0700X |
| Taxonomy | Prosthodontics |
| License Number | 0002255 |
| License Number State | ZZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: