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1447300223
MICHAEL DERAKHSHAN
BRADENTON, FL
NPI
1447300223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL 17541)
Enumeration Date
2007-01-12
Last Update Date
2007-07-08
Business Address
-- MICHAEL DERAKHSHAN
8640 E STATE ROAD 70
BRADENTON, FL 34202-3785
Phone number: 941-756-3410
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Mailing Address
-- MICHAEL DERAKHSHAN
8640 E STATE ROAD 70
BRADENTON, FL 34202-3785
Phone number:
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