Amir Ghazavi, DDS Valid NPI
Individual provider · Dentist · Lakeland, FL
- NPI
- 1831670306
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- DN24408 (FL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2018-08-23
- Last updated
- 2021-10-05
Practice location
4021 S Florida Ave
Lakeland, FL 33813-1623
(863) 837-1087