Individual
DR. HOUMAN DEHDASHTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
2300 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-3900
(941) 624-0990
Mailing address
2300 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-3900
(941) 624-0990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17619
FL
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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