Organization
ESI COSMETIC & GENERAL DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARADIS ESFANDIARI (OWNER)
(804) 833-4739
Entity
Organization
Contact information
Practice address
5823 MAIN ST, NEW PORT RICHEY, FL 34652-2713
(727) 842-6052
Mailing address
5823 MAIN ST, NEW PORT RICHEY, FL 34652-2713
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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