| NPI | 1679905848 |
|---|---|
| Doing Business As | HIREZI FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LOTTIE M DESCALLAR Practice Adminisrator 904-733-9191 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL 13089) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |