Individual
DR. ANTHONY TAWADROUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 S NOVA RD, DAYTONA BEACH, FL 32114-5815
(386) 947-9318
Mailing address
2833 BELLWIND CIR, ROCKLEDGE, FL 32955-5195
(321) 368-0903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
27216
FL
1223P0221X
Pediatric Dentistry
Primary
27216
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2022
Last updated
08/16/2024
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