Individual
AMIRSABA MOTAMEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4045 TYRONE BLVD N STE 201, ST PETERSBURG, FL 33709-4118
(727) 322-4576
Mailing address
4045 TYRONE BLVD N STE 201, ST PETERSBURG, FL 33709-4118
(856) 495-5066
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02986900
NJ
122300000X
Dentist
Primary
DN31216
FL
Other
Enumeration date
01/10/2024
Last updated
12/31/2025
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