| Ilya P Freyberg Dds Pa | |
|
1876 Polk St Hollywood FL 33020-3335 | |
| (917) 519-3772 | |
| Not Available |
| Full Name | Ilya P Freyberg Dds Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1876 Polk St, Hollywood, Florida |
| Authorized Official Name and Position | Ilya Freyberg (PRESIDENT) |
| Authorized Official Contact | 9175193772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ilya P Freyberg Dds Pa 1876 Polk St Hollywood FL 33020-3335 Ph: () - | Ilya P Freyberg Dds Pa 1876 Polk St Hollywood FL 33020-3335 Ph: (917) 519-3772 |
| NPI Number | 1245737014 |
|---|---|
| Provider Enumeration Date | 04/09/2018 |
| Last Update Date | 04/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245737014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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