Provider Demographics
NPI:1255633541
Name:KHVILIVITZKY, ESTER (DDS)
Entity type:Individual
Prefix:
First Name:ESTER
Middle Name:
Last Name:KHVILIVITZKY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ESTER
Other - Middle Name:
Other - Last Name:KHVILIVITZKY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:9150 NW 38TH DR APT 310
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4366
Mailing Address - Country:US
Mailing Address - Phone:917-603-8710
Mailing Address - Fax:
Practice Address - Street 1:900 NW 31ST AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33311-6653
Practice Address - Country:US
Practice Address - Phone:954-332-7546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-19
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN19174122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist