Individual
SHAHAB TAHERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
880 EASTGATE NORTH DR STE 101, CINCINNATI, OH 45245-2051
(502) 767-9018
Mailing address
315 SHALLOWFORD PL, LOUISVILLE, KY 40245-6209
(502) 767-9018
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.028033
OH
Other
Enumeration date
05/24/2025
Last updated
05/27/2025
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