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Individual
DR. TARIQ ALSMADI
Active
Individual
DR. TARIQ ALSMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
21294
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010389
COMP BENEFITS FACILITY #
TX
01
—
1565571
UNITED CONCORDIA ID
TX
05
—
161869601
—
TX
01
—
88D371
BLUE CROSS BLUE SHEILD ID
TX
01
—
G60212-01
CHIP ID
TX
Enumeration date
08/16/2006
Last updated
04/22/2022
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