HIREZI HIREZI DMD PA NPI 1679905848

NPI Information

HIREZI HIREZI DMD PA is a dental clinic center in Jacksonville, FL. HIREZI HIREZI DMD PA NPI is 1679905848. The provider is registered as an organization entity type.
The provider Is Doing Business As Hirezi Family Dentistry.

The provider's business location address is:

4495 BAYMEADOWS RD
JACKSONVILLE, FL
ZIP 32217-716
Phone: (904) 733-9191

The provider's authorized official is Lottie M Descallar .
The authorized official title is Practice Adminisrator and has the following contact phone number (904) 733-9191.

The enumeration date for this NPI number is 7/30/2013 and was last updated on 7/30/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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