DR. Neda Azadivatan-Le, D.D.S.
NPI #1922121177 in Surfside Beach, South Carolina
Provider Information
- NPI Number
- 1922121177
- Entity Type
- Individual
- Name
- DR. Neda Azadivatan-Le, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Periodontics
- Credential
- D.D.S.
- Enumeration Date
- Apr 10, 2007
- Last Updated
- Feb 13, 2024
Practice Location
- Address
- 1947 GLENNS BAY RD
- City
- Surfside Beach
- State
- South Carolina
- ZIP Code
- 29575-4833
- Phone
- (843) 650-7171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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