Individual
ALICIA NEDA AZIMIPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, BSPH
Contact information
Practice address
6980 MOORES LN, BRENTWOOD, TN 37027-2908
(615) 435-3667
Mailing address
6980 MOORES LN, BRENTWOOD, TN 37027-2908
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
09/06/2020
Last updated
09/06/2020
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