Individual
NIKOLAS PARHAM AMINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5116 BLANDING BLVD, JACKSONVILLE, FL 32210-7840
(904) 573-7900
(904) 903-4537
Mailing address
600 TECHNOLOGY PARK STE 101, LAKE MARY, FL 32746-7122
(407) 543-8509
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN23904
FL
Other
Enumeration date
10/15/2020
Last updated
10/16/2020
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