Individual provider · NPI-1

Tina Akhavan, DMD

Dentist, General Practice · Palm Beach Gardens, FL

NPI number1033778436
StatusActive
Last updated in NPPESJun 10, 2019

Details

NPI
1033778436
Entity type
Individual (NPI-1)
Name
Mrs. Tina Akhavan
Credential
DMD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 10, 2019
Last updated
Jun 10, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDN24099FLYes

Practice location

3333 Northlake Blvd Ste 6
Palm Beach Gardens, FL 33403-1717

Phone 561-508-8461

Mailing address

511 Se 5th Ave Apt 714
Fort Lauderdale, FL 33301-2968

Phone 954-461-5584

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