Organization
DEERFIELD MODERN DENTISTRY, PA
Active
Other names
Deerfield Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY AZADI DDS (OWNER)
(754) 333-2966
Entity
Organization
Contact information
Practice address
778 S FEDERAL HWY, DEERFIELD BEACH, FL 33441-5767
(754) 333-2966
(754) 333-4026
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
06/14/2022
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