DR. Illya Y. Novikov, DOCTOR OF DENTISTRY

NPI #1831313907 in Fort Myers Beach, Florida

Provider Information

NPI Number
1831313907
Entity Type
Individual
Name
DR. Illya Y. Novikov, DOCTOR OF DENTISTRY
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DOCTOR OF DENTISTRY
Enumeration Date
Apr 12, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
17105 SAN CARLOS BLVD
Address 2
SUITE B-3
State
Florida
ZIP Code
33931-5336
Phone
(239) 466-2888

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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