Individual
AISHA FAROOQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
445 SR-46, DICKSON, TN 37055
(615) 375-3060
Mailing address
2241B CASTLEMAN DR, NASHVILLE, TN 37215-3303
(516) 263-0014
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11678
TN
261QS1000X
Student Health Clinic/Center
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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