Individual
AIDA DAVOODI KERMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36091 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1531
(727) 330-2765
Mailing address
36091 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN23449
FL
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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