Individual
DR. FARID HAMIDZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D, M.S.
Contact information
Practice address
6 PARK PL, BRISTOL, VT 05443
(802) 453-7700
Mailing address
6 PARK PL, BRISTOL, VT 05443-1229
(802) 453-7700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016-0133850
VT
122300000X
Dentist
DN 19736
FL
Other
Enumeration date
08/06/2012
Last updated
11/20/2019
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