Organization
BEACHWOOD DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARSHAD TAGHIZADEH DMD (PRESIDENT)
(804) 304-0391
Entity
Organization
Contact information
Practice address
32817 EILAND BLVD, ZEPHYRHILLS, FL 33545-5227
(804) 304-0391
Mailing address
19070 LUTTERWORTH CT, LAND O LAKES, FL 34638-0017
(804) 304-0391
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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