Organization
TARI ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIANOUSH M TARI (ORTHODONTIST)
(540) 338-0004
Entity
Organization
Contact information
Practice address
215 E 5TH AVE, RANSON, WV 25438-1613
(304) 725-1333
Mailing address
215 E 5TH AVE, RANSON, WV 25438-1613
(304) 725-1333
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4084
WV
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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