| Valerian Orthodontics | |
|
18964 N Dale Mabry Hwy Ste 103 Lutz FL 33548-4913 | |
| (813) 591-1568 | |
| Not Available |
| Full Name | Valerian Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 18964 N Dale Mabry Hwy Ste 103, Lutz, Florida |
| Authorized Official Name and Position | Keyvan Tavakoli (PRESIDENT) |
| Authorized Official Contact | 9109225707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valerian Orthodontics 18964 N Dale Mabry Hwy Ste 103 Lutz FL 33548-4913 Ph: (813) 591-1568 | Valerian Orthodontics 18964 N Dale Mabry Hwy Ste 103 Lutz FL 33548-4913 Ph: (813) 591-1568 |
| NPI Number | 1003345802 |
|---|---|
| Provider Enumeration Date | 06/06/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003345802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN22487 (Florida) | Primary |
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