Individual
DR. TIA KHOSHABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2316 W BETHANY HOME RD, PHOENIX, AZ 85015-1850
(602) 841-7548
(602) 481-7556
Mailing address
6127 E HORSESHOE RD, PARADISE VALLEY, AZ 85253-2264
(480) 840-4098
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D009849
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/05/2017
Last updated
03/02/2026
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