Individual
DR. NEDA AZADIVATAN-LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1947 GLENNS BAY RD, SURFSIDE BEACH, SC 29575-4833
(843) 650-7171
(843) 650-7173
Mailing address
PO BOX 15639, SURFSIDE BEACH, SC 29587-5639
(843) 650-7171
(843) 650-7173
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
049227
NY
1223P0300X
Periodontics
Primary
10387
SC
Other
Enumeration date
04/10/2007
Last updated
02/13/2024
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