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1609353713
TARA DERAKHSHANDEH
PALM BAY, FL
NPI
1609353713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: FL DN23654)
Enumeration Date
2018-07-20
Last Update Date
2018-08-02
Business Address
TARA DERAKHSHANDEH DMD
3590 BAYSIDE LAKES BLVD SE
PALM BAY, FL 32909
Phone number: 321-984-0044
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Mailing Address
TARA DERAKHSHANDEH DMD
3590 BAYSIDE LAKES BLVD SE
PALM BAY, FL 32909-6866
Phone number:
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