Keyvan Tavakoli, Dds, Mds, P.a.

NPI #1003345802 in Lutz, Florida

Provider Information

NPI Number: 1003345802
Entity Type: Organization
Organization Name: Keyvan Tavakoli, Dds, Mds, P.a.
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Jun 6, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 18964 N DALE MABRY HWY STE 103
City: Lutz
State: Florida
ZIP Code: 33548-4913
Phone: (813) 591-1568

Authorized Official

Name: DR. KEYVAN TAVAKOLI, DDS
Title: PRESIDENT
Phone: (910) 922-5707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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Individual Providers

Provider Name	Specialty	City
DR. Isis El Ghannam, DDS	Dentist - Orthodontics and Dentofacial Orthopedics	Lutz	AI Deep Dive
DR. Brian W Thomas, DMD, MS	Dentist - Orthodontics and Dentofacial Orthopedics	Lutz	AI Deep Dive
DR. Steven David Aaron, DMD	Dentist - Orthodontics and Dentofacial Orthopedics	North Miami Beach	AI Deep Dive

Organizations

Provider Name	Specialty	City
Ismile Bright LLC	Dentist - Orthodontics and Dentofacial Orthopedics	Lutz	AI Deep Dive
Orthodontic Options, LLC	Dentist - Orthodontics and Dentofacial Orthopedics	Jacksonville	AI Deep Dive

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