Individual
DR. FARINAZ TAZEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
15 BANK ST, APT 105 A, WHITE PLAINS, NY 10606-1917
(917) 405-9437
Mailing address
15 BANK ST, APT 105 A, WHITE PLAINS, NY 10606-1917
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
055238
NY
1223G0001X
General Practice Dentistry
055238
NY
Other
Enumeration date
09/14/2010
Last updated
01/23/2012
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