Individual
TAZEEN SHAZREH AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7125 N DURANGO DR, LAS VEGAS, NV 89149-4466
(702) 658-2311
Mailing address
564 BACHELOR BUTTON ST, LAS VEGAS, NV 89138-6078
(702) 683-8053
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6912
NV
Other
Enumeration date
06/30/2017
Last updated
06/30/2017
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