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ANTHONY A. AZADI DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1326491853

Individual Registrant:
 ANTHONY A. AZADI DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
15455 US HIGHWAY 441  EUSTIS, FL 32726-8321 US
Tel: 352-399-0911  Fax: --

Contact information for business:
15455 US HIGHWAY 441  EUSTIS, FL 32726-8321 US
Tel: --  Fax: --

Registration Information:
NPI: 1326491853
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
FLDN 22177

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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