Organization · Type 2 NPI

Keyvan Tavakoli, Dds, Mds, P.a.

Orthodontics and Dentofacial Orthopedics Dentistry · Lutz, FL

NPI number 1003345802 Active

Practice location

18964 N Dale Mabry Hwy Ste 103
Lutz, FL 33548-4913

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDN22487 (FL)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1003345802

Keyvan Tavakoli, Dds, Mds, P.a.'s National Provider Identifier is 1003345802, issued on Jun 6, 2017. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Lutz, FL. The record was last updated on Jul 21, 2022.