Ardalan, Amir Reza

Ardalan, Amir Reza is an sole proprietor health care provider with primary practice located at 374 Sw Prima Vista Blvd. , Port St. Lucie FL 34983. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Ardalan, Amir Reza can be contacted via phone (772) 344-4664.

Contact Information

Primary practice address
374 Sw Prima Vista Blvd. Port St. Lucie FL 34983
Phone: (772) 344-4664
Fax: (772) 621-4498
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN16127 Florida

Profile Details

NPI number 1093873820
LBN Legal business name Ardalan, Amir Reza
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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