Individual
DR. FARSHAD TAGHIZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5317 DITTANY CT, LAND O LAKES, FL 34639-2826
(804) 304-0391
Mailing address
5317 DITTANY CT, LAND O LAKES, FL 34639-2826
(804) 304-0391
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401416966
VA
1223G0001X
General Practice Dentistry
Primary
DN25706
FL
Other
Enumeration date
07/07/2020
Last updated
04/07/2023
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