Individual
DR. MOHAMMAD REZA AZARI SAMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14453 BEACH BLVD STE 100, JACKSONVILLE, FL 32250-2081
(904) 992-8900
Mailing address
14453 BEACH BLVD STE 100, JACKSONVILLE, FL 32250-2081
(904) 992-8900
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN12860
FL
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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