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Organization

TAHERI CHANG MD PC

Active
Other names
MESQUITE DERMATOLOGY & SKIN CANCER
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANIEL P. TAHERI M.D. (OWNER)
(661) 974-8666
Entity
Organization

Contact information

Practice address
5731 S FORT APACHE RD STE C, LAS VEGAS, NV 89148-5620
(661) 974-8666
(661) 974-8669
Mailing address
PO BOX 16297, BEVERLY HILLS, CA 90209-2297
(661) 974-8666
(661) 974-8669

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
02/19/2009
Last updated
02/19/2009
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