Organization
DENTISTS OF SOUTHSIDE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY AZADI (OWNER)
(714) 845-8500
Entity
Organization
Contact information
Practice address
4316 SOUTHSIDE BLVD, JACKSONVILLE, FL 32216-5474
(904) 322-8754
Mailing address
PO BOX 660041, DALLAS, TX 75266-0041
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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