Individual provider · Type 1 NPI

Michael Derakhshan

General Practice Dentistry · Bradenton, FL

NPI number 1447300223 Active

About NPI 1447300223

Michael Derakhshan's National Provider Identifier is 1447300223, issued on Jan 12, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bradenton, FL. The record was last updated on Jul 8, 2007.