Mohammad Abdollahzadehfard
Dentist in Fort Lauderdale, FL. Individual provider (NPI-1).
NPI number1417634320
StatusActive
Last updated in NPPESJul 31, 2023
Details
- NPI
- 1417634320
- Entity type
- Individual (NPI-1)
- Name
- Mohammad Abdollahzadehfard
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2023
- Certification date
- Jul 30, 2023
- Last updated
- Jul 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 28385 | FL | Yes |
Practice location
1865 Cordova RdFort Lauderdale, FL 33316-2198
Phone 954-947-1458
Mailing address
1 Sw 94th TerPlantation, FL 33324-2429
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