Provider Demographics
NPI:1982787917
Name:TEHRANI, KAMIN A (DDS)
Entity Type:Individual
Prefix:DR
First Name:KAMIN
Middle Name:A
Last Name:TEHRANI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2999 NE 191ST ST
Mailing Address - Street 2:SUITE 350
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3123
Mailing Address - Country:US
Mailing Address - Phone:305-466-2334
Mailing Address - Fax:305-466-2359
Practice Address - Street 1:11645 BISCAYNE BOULEVARD
Practice Address - Street 2:SUITE 407
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181
Practice Address - Country:US
Practice Address - Phone:305-891-2621
Practice Address - Fax:305-891-7279
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN160841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice