Individual
HARIS NAWAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 WATSON DR STE G, KEARNEY, MO 64060-4515
(816) 832-4549
Mailing address
121 DEKALB AVE HOUSE STAFF ADMINISTRATION, BROOKLYN, NY 11201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2023025130
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2023
Last updated
09/19/2023
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