Organization
VIBRANT ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM REZAIE DMD (OWNER/PRESIDENT)
(850) 385-8101
Entity
Organization
Contact information
Practice address
1350 THOMASWOOD DR, TALLAHASSEE, FL 32308-7914
(850) 385-8101
Mailing address
1350 THOMASWOOD DR, TALLAHASSEE, FL 32308-7914
(850) 385-8101
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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