Individual
BEHZAD RAJAEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7451 103RD ST, SUITE 18, JACKSONVILLE, FL 32210-9300
(904) 777-4622
Mailing address
9236 SW 31ST PL, GAINESVILLE, FL 32608-7935
(352) 872-5854
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
60396
CA
122300000X
Dentist
Primary
DN20462
FL
Other
Enumeration date
06/10/2011
Last updated
07/14/2015
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