Organization
HOUSMAN DEHDASHTI DMD PA
Active
Other names
Denta Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOUMAN DEHDASHTI (DMD DENTIST)
(941) 624-0990
Entity
Organization
Contact information
Practice address
2300 TAMIAMI TRAIL, PORT CHARLOTTE, FL 33952-3900
(941) 624-0990
(941) 624-3424
Mailing address
2300 TAMIAMI TRAIL, PORT CHARLOTTE, FL 33952-3900
(941) 624-0990
(941) 624-3424
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17619
FL
Other
Enumeration date
04/30/2007
Last updated
08/22/2020
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