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Amir Mostatabzadeh
General Practice Dentistry in Brandon, Florida
NPI 1457883019

Amir Mostatabzadeh is a General Practice Dentistry based in Brandon, FL and is specialized in General Practice. Amir Mostatabzadeh practices in Brandon, FL. The NPI Number for Amir Mostatabzadeh is 1457883019 and holds a License No. (Florida).

The current practice location address for Amir Mostatabzadeh is 2119 W Brandon Blvd Ste F, Brandon, FL and can be reached out via phone at 239-405-5592.

Location: 2119 W Brandon Blvd Ste F, Brandon, FL, 33511-4731
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457883019
Provider Name
Amir Mostatabzadeh
Credential
Provider Entity Type
Individual
Gender
Male
Address
2119 W Brandon Blvd Ste F, Brandon, FL, 33511-4731
Phone Number
239-405-5592
Fax Number
Provider Enumeration Date
03/31/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2119 W Brandon Blvd Ste F
City
Brandon
State
Florida
Zip
33511-4731
Phone Number
239-405-5592
Fax Number
person
Provider Business Mailing Address Details
Address
2119 W Brandon Blvd Ste F
City
Brandon
State
Florida
Zip
33511-4731
Phone Number
239-405-5592
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
22889 (Florida)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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