Keyvan Tavakoli, DDS, Mds, P.A.
Dentist, Orthodontics and Dentofacial Orthopedics in Lutz, FL. Organization (NPI-2).
NPI number1003345802
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1003345802
- Entity type
- Organization (NPI-2)
- Legal business name
- Keyvan Tavakoli, DDS, Mds, P.A.
- Organization subpart
- No
- Enumeration date
- Jun 6, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | DN22487 | FL | Yes |
Other names
- Valerian Orthodontics (Doing Business As)
Practice location
18964 N Dale Mabry Hwy Ste 103Lutz, FL 33548-4913
Phone 813-591-1568
Mailing address
18964 N Dale Mabry Hwy Ste 103Lutz, FL 33548-4913
Phone 813-591-1568
Authorized official
Keyvan Tavakoli
President
9109225707
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Other Orthodontics and Dentofacial Orthopedics Dentistry providers in Lutz, FL
- Isis El Ghannam, DDSNPI 1316487531
- Ismile Bright LLCNPI 1154191153
- Keyvan Tavakoli, D.D.S.NPI 1285987206
- Brian W Thomas, DMD, MSNPI 1528198769
All 5 Orthodontics and Dentofacial Orthopedics Dentistry providers in Lutz · All 2,002 providers in Lutz
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