Individual
NAWAR TAQI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1074 JACKSON XING, JACKSON, MI 49202-2039
(630) 715-3734
Mailing address
4585 CHERRY BLOSSOM DR, YPSILANTI, MI 48197-4004
(630) 715-3734
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601323
MI
122300000X
Dentist
2901601323APP22
MI
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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