MICHAEL DERAKHSHAN

BRADENTON, FL
NPI1447300223
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  17541)
Enumeration Date2007-01-12
Last Update Date2007-07-08
Business Address
-- MICHAEL DERAKHSHAN
8640 E STATE ROAD 70
BRADENTON, FL 34202-3785
Phone number: 941-756-3410
Mailing Address
-- MICHAEL DERAKHSHAN
8640 E STATE ROAD 70
BRADENTON, FL 34202-3785
Phone number:
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