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Organization
BRIARWOOD DENTAL PARTNERS, LLC
Active
Organization
BRIARWOOD DENTAL PARTNERS, LLC
Active
Other names
Precision Dental Briarwood
Organization subpart
No
Provider details
NPI number
Authorized official
NAZANIN GHAZISHARIF DDS (DENTIST)
(615) 476-2317
Entity
Organization
Contact information
Practice address
1042 FAIRVIEW AVE STE C, BOWLING GREEN, KY 42103-2600
(270) 746-5880
Mailing address
1042 FAIRVIEW AVE STE C, BOWLING GREEN, KY 42103-2600
(270) 746-5880
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194194431
MILITARY
—
05
—
1871640888
—
KY
01
—
1942678495
MILITARY
—
Enumeration date
10/27/2023
Last updated
10/27/2023
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