Organization
BRIARWOOD DENTAL PARTNERS, LLC
Active
Other names
Precision Dental Briarwood
Organization subpart
No
Provider details
NPI number
Authorized official
NAZANIN GHAZISHARIF DDS (DENTIST)
(615) 476-2317
Entity
Organization
Contact information
Practice address
1042 FAIRVIEW AVE STE C, BOWLING GREEN, KY 42103-2600
(270) 746-5880
Mailing address
1042 FAIRVIEW AVE STE C, BOWLING GREEN, KY 42103-2600
(270) 746-5880
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194194431
MILITARY
—
05
—
1871640888
—
KY
01
—
1942678495
MILITARY
—
Enumeration date
10/27/2023
Last updated
10/27/2023
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