PANTEA TAVAKOLI-KHAZRAEE

PORT ORANGE, FL
NPI1033229091
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: FL  DN13936)
Enumeration Date2006-08-30
Last Update Date2007-07-08
Business Address
Dr. PANTEA TAVAKOLI-KHAZRAEE DDS
900 N SWALLOW TAIL DR SUITE 103
PORT ORANGE, FL 32129
Phone number: 386-788-5000
Mailing Address
Dr. PANTEA TAVAKOLI-KHAZRAEE DDS
900 N SWALLOW TAIL DR SUITE 103
PORT ORANGE, FL 32129
Phone number: 386-788-5000