Individual
DR. ANITA KIANIMANESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
7100 W COMMERCIAL BLVD, LAUDERHILL, FL 33319-2155
(954) 741-6556
Mailing address
3150 W ROLLING HILLS CIR, #604, DAVIE, FL 33328-1950
(954) 536-4397
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17984
FL
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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