Organization
FAMILY DENTISTRY OF NORTH PENSACOLA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARVANEH MAHMOUDZADEH DDS (PRESIDENT)
(850) 477-6934
Entity
Organization
Contact information
Practice address
311 E NINE MILE ROAD, FAMILY DENTISTRY OF NORTH PENSACOLA PA, PENSACOLA, FL 32514
(850) 477-6934
(850) 476-0605
Mailing address
10433 TAM O SHANTER ROAD, PENSACOLA, FL 32514
(850) 477-6934
(850) 476-0605
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/18/2006
Last updated
08/22/2020
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