Azari Samani, Mohammad Reza
Azari Samani, Mohammad Reza is an individual health care provider with primary practice located at 14453 Beach Blvd Ste 100 , Jacksonville FL 32250-2081. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Azari Samani, Mohammad Reza can be contacted via phone (904) 992-8900.Contact Information
Primary practice address
14453 Beach Blvd Ste 100
Jacksonville FL 32250-2081
Phone: (904) 992-8900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | DN12860 | Florida |
Profile Details
| NPI number | 1932728078 |
|---|---|
| LBN Legal business name | Azari Samani, Mohammad Reza |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2020 |
| Last updated | Apr 9th, 2020 - about 6 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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