Individual
DR. SHAZMEENA BANGASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
141 S MAIN ST, SMITHS GROVE, KY 42171-8130
(270) 451-0059
Mailing address
3203 SPIDER LILY, SMITHS GROVE, TX 78258
(559) 301-8276
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6130111-9922
UT
1223G0001X
General Practice Dentistry
Primary
31836
TX
Other
Enumeration date
07/02/2008
Last updated
03/08/2022
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