IndividualActive
Masoud Farzaneh, DDS
NPI 1669544540 · General Practice Dentistry · Mulberry, FL
Provider details
- NPI number
- 1669544540
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DN 13817 (FL)
Specialties & taxonomies
Dental Providers
Practice location
105 N Church Ave
Mulberry, FL 33860-2413
Phone: (863) 869-8888
Fax: (863) 869-8880
Approximate (ZIP-level) locationGet directions
Mailing address
105 N Church Ave
Mulberry, FL 33860-2413
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2014-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.