| Yadegari Orthodontics Llc | |
|
12741 Miramar Pkwy Ste 203 Miramar FL 33027-2905 | |
| (954) 236-5273 | |
| Not Available |
| Full Name | Yadegari Orthodontics Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 12741 Miramar Pkwy Ste 203, Miramar, Florida |
| Authorized Official Name and Position | Alexander Vedad Yadegari (AMBR) |
| Authorized Official Contact | 9045217981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yadegari Orthodontics Llc 12741 Miramar Pkwy Ste 203 Miramar FL 33027-2905 Ph: (954) 236-5273 | Yadegari Orthodontics Llc 12741 Miramar Pkwy Ste 203 Miramar FL 33027-2905 Ph: (954) 236-5273 |
| NPI Number | 1164924494 |
|---|---|
| Provider Enumeration Date | 03/02/2018 |
| Last Update Date | 10/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164924494 | NPI | - | NPPES |
| 700436 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN23096 (Florida) | Primary |
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