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NPI Code Detail

MEDICARE: HAMID K NAMAZI, DDS, LLC

MEDICARE: HAMID K NAMAZI, DDS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center30-019570OH

General Provider Information

NPI Number : 1225459084
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAMID K NAMAZI, DDS, LLC
Provider Business Mailing Address
First Line : 3525 W DUBLIN GRANVILLE RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43235-7900
Country : US
Telephone Number : 614-764-0544
Fax Number :
Provider Business Practice Location Address
First Line : 3525 W DUBLIN GRANVILLE RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43235-7900
Country : US
Telephone Number : 614-764-0544
Fax Number :
Authorized Official
Title or Position : OWNER
Name : HAMID K NAMAZI
Credential : DDS
Telephone Number : 614-374-3550
Provider Enumeration Date : 12/21/2013
Last Update Date : 01/06/2014

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Directions to “HAMID K NAMAZI, DDS, LLC ” Practice Location

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