Individual
DR. TARIQAZIZ BASHIR JAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1037 HOMELAND AVE, GREENSBORO, NC 27405-7003
(336) 272-0132
Mailing address
2721 HORSE PEN CREEK RD STE 101, GREENSBORO, NC 27410-8388
(336) 323-2822
(336) 323-2876
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11402
NC
Other
Enumeration date
06/01/2019
Last updated
10/17/2023
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