# ESI COSMETIC & GENERAL DENTISTRY PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942895289
- **Authorized official:** DR. PARADIS ESFANDIARI (OWNER)
- **Authorized official phone:** (804) 833-4739

## Contact information

- **Practice address:** 5823 MAIN ST, NEW PORT RICHEY, FL 34652-2713
- **Practice address phone:** (727) 842-6052
- **Mailing address:** 5823 MAIN ST, NEW PORT RICHEY, FL 34652-2713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/09/2021
- **Last updated:** 03/09/2021