Individual
SEVIN BARGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1395 CENTER DR, GAINESVILLE, FL 32610-0406
(352) 273-7800
Mailing address
2814 SW 92ND DR, GAINESVILLE, FL 32608-7980
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
DTP615
FL
1223X0008X
Oral and Maxillofacial Radiology Dentistry
R1138
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016196300
—
FL
Enumeration date
07/02/2013
Last updated
01/27/2016
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