Individual
DR. MOHAMMAD REZA IRANMANESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MSD
Contact information
Practice address
2814 W WATERS AVE, TAMPA, FL 33614-1853
(813) 933-6705
(813) 933-8696
Mailing address
2814 W WATERS AVE, TAMPA, FL 33614-1853
(813) 933-6705
(813) 933-8696
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN 11619
FL
Other
Enumeration date
07/23/2006
Last updated
07/08/2007
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