Individual
DR. TARIQ GHAZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS, MS, PHD, DABDPH
Contact information
Practice address
6200 SARATOGA BLVD BLDG 1, CORPUS CHRISTI, TX 78414-3477
(361) 992-9500
Mailing address
6200 SARATOGA BLVD BLDG 1, CORPUS CHRISTI, TX 78414-3477
(361) 992-9500
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
33769
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33769
TEXAS STATE DENTAL LICENSE
TX
Enumeration date
06/23/2015
Last updated
04/26/2018
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