Individual
DR. ASHKAN MAHDAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.B.A.
Contact information
Practice address
9800 SAGO POINT DR, SEMINOLE, FL 33777-4902
(848) 346-4380
Mailing address
4775 DEL MORENO PL, WOODLAND HILLS, CA 91364-4634
(818) 346-4380
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN015279
GA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN015279
GA
Other
Enumeration date
11/02/2016
Last updated
01/09/2026
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