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Hirezi Hirezi Dmd Pa
Dental Clinic/Center in Jacksonville, Florida
NPI 1679905848

Hirezi Hirezi Dmd Pa is a Dental Clinic/Center based in Jacksonville, FL and is specialized in Dental. Hirezi Hirezi Dmd Pa practices in Jacksonville, FL. The NPI Number for Hirezi Hirezi Dmd Pa is 1679905848 and holds a License No. 13089 (Florida).

The current practice location address for Hirezi Hirezi Dmd Pa is 4495 Baymeadows Rd, Jacksonville, FL and can be reached out via phone at 904-733-9191.

Location: 4495 Baymeadows Rd, Jacksonville, FL, 32217-4716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679905848
Provider Name
Hirezi Hirezi Dmd Pa
Credential
Provider Entity Type
Organization
Address
4495 Baymeadows Rd, Jacksonville, FL, 32217-4716
Phone Number
904-733-9191
Fax Number
Provider Enumeration Date
07/30/2013
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1639241821 01 FL ALL DENTAL INSURANCE
institution
Provider Business Practice Location Address Details
Address
4495 Baymeadows Rd
City
Jacksonville
State
Florida
Zip
32217-4716
Phone Number
904-733-9191
Fax Number
person
Provider Business Mailing Address Details
Address
4495 Baymeadows Rd
City
Jacksonville
State
Florida
Zip
32217-4716
Phone Number
904-733-9191
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
13089 (Florida)
Definition
Definition to come...
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