Individual
MS. HIRRA N/A WAQAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1202 DR. MARTIN LUTHER KING JR. WAY, TACOMA, WA 98405
(253) 442-8720
Mailing address
6420 OLD VINCENNES RD, FLOYDS KNOBS, IN 47119-9486
(812) 989-3275
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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