Tara Derakhshandeh, DMD
NPI 1609353713 · on the registry since 2018
Practice
- Address
- 3590 Bayside Lakes Blvd Se
Palm Bay, FL 32909 - Phone
- (321) 984-0044
- Organisation at this address
- New Image Dentisty Of Palm Bay
Professional Dental Alliance Of Bayside Lakes, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-08-02
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida