Organization
DASANI DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YALDA DAVOODI DMD (PRESIDENT)
(352) 328-5842
Entity
Organization
Contact information
Practice address
6651 WOOLBRIGHT RD, UNIT 116, BOYNTON BEACH, FL 33437-0916
(352) 328-5842
Mailing address
6651 WOOLBRIGHT RD, UNIT 116, BOYNTON BEACH, FL 33437-0916
(352) 328-5842
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN21376
FL
1223G0001X
General Practice Dentistry
Primary
DN21376
FL
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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