AMIR MOSTATABZADEH

BRANDON, FL
NPI1457883019
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: FL  22889)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-03-31
Last Update Date2019-06-29
Business Address
AMIR MOSTATABZADEH
2119 W BRANDON BLVD STE F
BRANDON, FL 33511-4731
Phone number: 239-405-5592
Mailing Address
AMIR MOSTATABZADEH
2119 W BRANDON BLVD STE F
BRANDON, FL 33511-4731
Phone number: 239-405-5592