Most Relevant Information
Provider Data
NPI Number: | 1003060138 |
Provider Name: | VIKTORIA SVERDLOV DMD |
Entity Type: | Individual |
Taxonomy Code: | 122300000X |
Specialty: | Dentist |
License Number: | 22DI02304200 |
Most Important Dates
Enumeration Date: | 11/17/2008 |
Last Updated: | 12/01/2010 |
Provider Practice Location
15-01 BROADWAY
SUITE 10F
FAIR LAWN
NJ
074106003
Practice Location Phone/Fax
Phone: | 2017910130 |
Fax: | 2017919394 |
Provider Mailing Location
15-01 BROADWAY
SUITE 10F
FAIR LAWN
NJ
074106003
Provider Mailing Phone/Fax
Phone: | 2017910130 |
Fax: | 2017919394 |