Organization
TBS DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TASNEEM BIJLI SYEDA DMD (FOUNDER & DENTIST)
(502) 882-1243
Entity
Organization
Contact information
Practice address
8153 NEW LA GRANGE RD STE 101, LOUISVILLE, KY 40222-4680
(502) 882-1243
Mailing address
8153 NEW LA GRANGE RD STE 101, LOUISVILLE, KY 40222-4680
(502) 882-1243
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100898700
—
KY
Enumeration date
10/17/2024
Last updated
10/17/2024
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