Keyvan Tavakoli, D.D.S.

NPI #1285987206 in Lutz, Florida

Provider Information

NPI Number: 1285987206
Entity Type: Individual
Name: Keyvan Tavakoli, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Oct 16, 2012
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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X

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