Individual
DR. TAYEBA MINHAS IKRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
60 STONECREST CT, SUITE NUMBER 200, SHELBYVILLE, KY 40065-8155
(502) 633-1819
Mailing address
2003 ASHFORD DR, GOSHEN, KY 40026-8424
(812) 989-3459
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9880
KY
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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