Individual provider · NPI-1

Dr. Kamyar Alizadegan, DMD

Dentist · North Miami Beach, FL

NPI number1720725971
StatusActive
Last updated in NPPESJun 11, 2022

Details

NPI
1720725971
Entity type
Individual (NPI-1)
Name
Dr. Kamyar Alizadegan
Credential
DMD
Sex
Male
Sole proprietor
No
Enumeration date
May 18, 2022
Certification date
Jun 11, 2022
Last updated
Jun 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist27034FLYes

Practice location

880 N Miami Beach Blvd
North Miami Beach, FL 33162-3701

Phone 305-907-2186

Mailing address

31 Se 5th St Apt 2511
Miami, FL 33131-2518

Phone 561-410-3874

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