Individual
TARA ABOUMAHBOUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
26134
FL
122300000X
Dentist
Primary
30.026572
OH
122300000X
Dentist
DN26134
FL
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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