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Organization
LAYA SLEEP CLINIC, LLC
Active
Organization
LAYA SLEEP CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK JAZAYERI (DENTIST)
(850) 865-5709
Entity
Organization
Contact information
Practice address
348 MIRACLE STRIP PKWY SW STE 15A, FORT WALTON BEACH, FL 32548-5258
(850) 865-5709
Mailing address
348 MIRACLE STRIP PKWY SW STE 15A, FORT WALTON BEACH, FL 32548-5258
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/02/2019
Last updated
05/24/2019
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