Individual
DR. JOOD BAZERBASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
604 MAITLAND AVE, ALTAMONTE SPRINGS, FL 32701-6834
(407) 915-4828
Mailing address
257 KILLINGTON WAY, ORLANDO, FL 32835-6841
(832) 661-8720
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN25373
FL
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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