DR. Daniel Belotserkovsky, DDS

NPI #1912344904 in St Augustine, Florida

Provider Information

NPI Number: 1912344904
Entity Type: Individual
Name: DR. Daniel Belotserkovsky, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 30, 2013
Last Updated: Feb 6, 2018

Practice Location

Address: 10 SAINT JOHNS MEDICAL PARK DR
City: St Augustine
State: Florida
ZIP Code: 32086-5201
Phone: (904) 770-2686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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