| Reza Ardalan Dmd Pa | |
|
130 Sw Chamber Ct Port Saint Lucie FL 34986-3496 | |
| (772) 344-4664 | |
| (772) 621-4498 |
| Full Name | Reza Ardalan Dmd Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 130 Sw Chamber Ct, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Kimberly M Ardalan (CFO) |
| Authorized Official Contact | 7723444664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reza Ardalan Dmd Pa 130 Sw Chamber Ct Port Saint Lucie FL 34986-3496 Ph: (772) 344-4664 | Reza Ardalan Dmd Pa 130 Sw Chamber Ct Port Saint Lucie FL 34986-3496 Ph: (772) 344-4664 |
| NPI Number | 1356274542 |
|---|---|
| Provider Enumeration Date | 06/05/2026 |
| Last Update Date | 06/05/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356274542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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