Most Relevant Information
Provider Data
| NPI Number: | 1003229899 |
| Provider Name: | REZA MICHAEL BARRY DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223X0400X |
| Specialty: | Dentist |
| License Number: | DN20885 |
Most Important Dates
| Enumeration Date: | 06/09/2014 |
| Last Updated: | 04/27/2017 |
Provider Practice Location
3051 HIGHLAND OAKS TER
SUITE 4
TALLAHASSEE
FL
323013845
Practice Location Phone/Fax
| Phone: | 8506563917 |
| Fax: |
Provider Mailing Location
3909 RESERVE DR
APT 2623
TALLAHASSEE
FL
323118200
Provider Mailing Phone/Fax
| Phone: | 8502412868 |
| Fax: |