Provider Demographics
NPI:1851494926
Name:TOPOL, KATERINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:KATERINA
Middle Name:
Last Name:TOPOL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16425 COLLINS AVE APT 715
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4571
Mailing Address - Country:US
Mailing Address - Phone:917-597-1123
Mailing Address - Fax:
Practice Address - Street 1:6823 TAFT ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-5601
Practice Address - Country:US
Practice Address - Phone:561-999-9650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN246341223G0001X
NJ22DI021086001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice