Individual
FARSHAD NASTAEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1912 W REYNOLDS ST, PLANT CITY, FL 33563-4700
(813) 567-7001
Mailing address
5125 PALM SPRINGS BLVD UNIT 11205, TAMPA, FL 33647-5022
(832) 353-5729
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
27625
FL
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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