Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | DN0014946 | FL |
NPI | 1164513735 |
---|---|
Provider Name | Dr. Gabriel Slavescu |
First Address | Wilton Manors, FL 33305-2039 |
Second Address | Wilton Manors, FL 33305-2039 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 31/01/2013 |