| Organization Name: | ALI BEHZADI D.M.D P.A |
| NPI Number: | 1134429319 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALI BEHZADI (DENTIST) |
| Mailing Address: | 515 Sr 436 Suite 1010 Casselberry |
| State: | FL US |
| Postal Code: | 32707 |
| Phone Number: | 4078314077 |
| Fax Number: | 4078318077 |
| NPI Enumeration Date: | 10/22/2010 |
| NPI Last Update Date: | 10/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |