Individual
MAHYAR LOTFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1455 STATE ROAD 436 STE 101, CASSELBERRY, FL 32707-6514
(407) 708-9228
Mailing address
941 HYLAND DR, SANTA ROSA, CA 95404-2229
(858) 342-4420
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DDS100138
CA
122300000X
Dentist
Primary
DN 21268
FL
Other
Enumeration date
06/11/2015
Last updated
01/16/2019
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