Individual
DR. MARYAM REZAIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
4900 MARKET PLACE RD FL 32504, PENSACOLA, FL 32504
(850) 477-1089
Mailing address
4900 MARKET PLACE RD FL 32504, PENSACOLA, FL 32504-8985
(850) 477-1089
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN18855
FL
Other
Enumeration date
12/21/2009
Last updated
11/20/2018
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