Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 22DI02613700 | NJ |
Y | 122300000X | Dentist | DN21909 | FL |
NPI | 1003292285 |
---|---|
Provider Name | Dr. Gabriel Shvets |
First Address | Delray Beach, FL 33445-4630 |
Second Address | Delray Beach, FL 33445-4630 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2015 |
Last Update Date | 13/02/2017 |