Individual
SAFA TAHMASEBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8375 DIX ELLIS TRL # 110, JACKSONVILLE, FL 32256-8273
(704) 323-5390
Mailing address
11755 FLOWERING PEACH CT, JACKSONVILLE, FL 32256-6893
(980) 339-6333
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN25450
FL
Other
Enumeration date
12/16/2019
Last updated
01/05/2026
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