Kotch, Russell Perry

Kotch, Russell Perry is an sole proprietor health care provider with primary practice located at 1 Sw 129Th Ave Suite 302, Pembroke Pines FL 33027-1761. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kotch, Russell Perry can be contacted via phone (954) 437-4443.

Contact Information

Primary practice address
1 Sw 129Th Ave Suite 302 Pembroke Pines FL 33027-1761
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN21881 Florida

Profile Details

NPI number 1285086009
LBN Legal business name Kotch, Russell Perry
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2016
Last updated Jul 5th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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