Individual
TARIQ M. SHIYAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1000 WALLACE WAY, GRANDVIEW, WA 98930-8805
(509) 882-4491
(509) 882-1153
Mailing address
325 CANYON DR APT 8, PROSSER, WA 99350-1074
(443) 851-6017
(509) 882-1153
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60161577
WA
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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