Provider Demographics
NPI:1992041891
Name:A.P. DENTAL ARTS PLLC
Entity Type:Organization
Organization Name:A.P. DENTAL ARTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:PROF
Authorized Official - First Name:VALERIY
Authorized Official - Middle Name:
Authorized Official - Last Name:TSUR-TSAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:561-855-4703
Mailing Address - Street 1:603 VILLAGE BLVD STE 304
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-1973
Mailing Address - Country:US
Mailing Address - Phone:561-855-4703
Mailing Address - Fax:561-471-1831
Practice Address - Street 1:603 VILLAGE BLVD STE 304
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-1973
Practice Address - Country:US
Practice Address - Phone:561-855-4703
Practice Address - Fax:561-471-1831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-20
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN16466122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty