Provider Demographics
NPI:1023197084
Name:GARAZI, ISAAC (DMD)
Entity Type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:
Last Name:GARAZI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20484 W DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1128
Mailing Address - Country:US
Mailing Address - Phone:305-931-0607
Mailing Address - Fax:305-931-1201
Practice Address - Street 1:20484 W DIXIE HWY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33180-1128
Practice Address - Country:US
Practice Address - Phone:305-931-0607
Practice Address - Fax:305-931-1201
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL88781223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics