Organization
ESI DENTISTRY PALM HARBOR PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARADIS ESFANDIARI DDS (MANAGER)
(727) 772-1120
Entity
Organization
Contact information
Practice address
31980 US HIGHWAY 19 N, PALM HARBOR, FL 34684-3730
(727) 842-6052
Mailing address
31980 US HIGHWAY 19 N, PALM HARBOR, FL 34684-3730
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
07/27/2022
Last updated
04/30/2023
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