Individual
DR. MAHDI NOURBAKHSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1012 HIGHWAY 98 E STE 100, DESTIN, FL 32541-2902
(850) 460-3221
Mailing address
1012 HIGHWAY 98 E STE 100, DESTIN, FL 32541-2902
(850) 460-3221
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29487
FL
Other
Enumeration date
06/26/2023
Last updated
08/22/2024
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