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Individual
DR. TAREQ ALSARRAF
Active
Individual
DR. TAREQ ALSARRAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0442000526
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DL100767
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
08/12/2024
Last updated
06/11/2025
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