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1033229091
PANTEA TAVAKOLI-KHAZRAEE
PORT ORANGE, FL
NPI
1033229091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: FL DN13936)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
Dr. PANTEA TAVAKOLI-KHAZRAEE DDS
900 N SWALLOW TAIL DR SUITE 103
PORT ORANGE, FL 32129
Phone number: 386-788-5000
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Mailing Address
Dr. PANTEA TAVAKOLI-KHAZRAEE DDS
900 N SWALLOW TAIL DR SUITE 103
PORT ORANGE, FL 32129
Phone number: 386-788-5000
Copy
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