Organization
YADEGARI ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER VEDAD YADEGARI (AMBR)
(904) 521-7981
Entity
Organization
Contact information
Practice address
12741 MIRAMAR PKWY STE 203, MIRAMAR, FL 33027-2905
(954) 236-5273
Mailing address
12741 MIRAMAR PKWY STE 203, MIRAMAR, FL 33027-2905
(954) 236-5273
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN23096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
700436
—
FL
Enumeration date
03/02/2018
Last updated
10/17/2021
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