Nick Jazayeri, DMD

NPI #1962456095 in Destin, Florida

Provider Information

NPI Number: 1962456095
Entity Type: Individual
Name: Nick Jazayeri, DMD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: May 22, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3839 INDIAN TRL
City: Destin
State: Florida
ZIP Code: 32541-2005
Phone: (850) 654-4555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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