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ANTHONY A. AZADI DDS
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1326491853
Individual Registrant: ANTHONY A. AZADI DDS
Gender: M
Not Sole Proprietor
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: --
Tel: 352-399-0911 Fax: --
Contact information for business:
15455 US HIGHWAY 441 EUSTIS, FL 32726-8321 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1326491853
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | FL | DN 22177 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
