Organization
HENDRICKS DENTAL STUDIO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZADEH YAVARI DDS (PRESIDENT)
(904) 396-1023
Entity
Organization
Contact information
Practice address
3557 HENDRICKS AVE, JACKSONVILLE, FL 32207-5309
(904) 396-1023
Mailing address
3557 HENDRICKS AVE, JACKSONVILLE, FL 32207-5309
(904) 396-1023
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN19121
FL
Other
Enumeration date
05/29/2016
Last updated
05/29/2016
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