Individual
FARDIN ZARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8709 HUNTERS GREEN DR, SUITE 102, TAMPA, FL 33647-2309
(813) 991-1088
(813) 991-4817
Mailing address
8709 HUNTERS GREEN DR, SUITE 102, TAMPA, FL 33647-2309
(813) 991-1088
(813) 991-4817
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN14694
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1803562
UNITED CONCORDIA
FL
01
—
56949
BLUE CROSS / BLUE SHIELD
FL
Enumeration date
08/31/2006
Last updated
07/08/2007
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