Individual
DR. ABTIN ETEZADI-TABRIZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1700 S SOUTHEASTERN AVE, SIOUX FALLS, SD 57103-3227
(605) 331-5059
(605) 275-6725
Mailing address
1700 S SOUTHEASTERN AVE, SIOUX FALLS, SD 57103-3227
(605) 331-5059
(605) 275-6725
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D1506
SD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN013742
GA
Other
Enumeration date
06/09/2008
Last updated
04/14/2026
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