Individual
DR. ISHITA TANEJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
373 BOONE HEIGHTS DR, BOONE, NC 28607-4934
(828) 264-0110
Mailing address
1919 7TH AVE S, BIRMINGHAM, AL 35233-2005
(205) 934-3000
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13079
NC
Other
Enumeration date
06/10/2020
Last updated
01/26/2023
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