Beeta Akhavan Valid NPI
Individual provider · Dentist · Port St Lucie, FL
- NPI
- 1063072767
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- DN24140 (FL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2019-06-17
- Last updated
- 2019-06-17
Practice location
1722 Sw Saint Lucie West Blvd
Port St Lucie, FL 34986-2504
(772) 337-8600