Individual
TAREK ZIAD KAAKANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
N6571 LUMBERJACK GUY RD, BLACK RIVER FALLS, WI 54615-5405
(715) 670-0400
Mailing address
5454 E JUSTINE RD, SCOTTSDALE, AZ 85254-1700
(602) 300-3892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001656-15
WI
Other
Enumeration date
07/05/2017
Last updated
03/30/2021
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