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Organization

PALM HARBOR DENTAL ASSOCIATES INC

Active
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Organization

PALM HARBOR DENTAL ASSOCIATES INC

Active
Parent organization
WEST PARK DENTAL ASSOCIATES
Other names
Siamak Rafieian DDS William Campbell DMD
Organization subpart
Yes

Provider details

NPI number
Legal business name
WEST PARK DENTAL ASSOCIATES
Authorized official
SIAMAK RAFIEIAN DDS (OWNER DENTIST)
(727) 786-9144
Entity
Organization

Contact information

Practice address
34669 US HWY 19 N, PALM HARBOR, FL 34684
(727) 986-9144
(727) 786-9155
Mailing address
34669 US HWY 19 N, PALM HARBOR, FL 34684
(727) 986-9144
(727) 786-9155

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13918
FL
122300000X
Dentist
DN3904
FL

Other

Enumeration date
03/19/2007
Last updated
04/25/2017
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