Individual
ANTHONY A. AZADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15455 US HIGHWAY 441, EUSTIS, FL 32726-8321
(352) 399-0911
Mailing address
15455 US HIGHWAY 441, EUSTIS, FL 32726-8321
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 22177
FL
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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