Individual
MISS TANIA FARUQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1777 MADISON ST STE 100, CLARKSVILLE, TN 37043-4912
(913) 202-9151
Mailing address
1880 ARMSTRONG DR, CLARKSVILLE, TN 37042-6602
(571) 426-9264
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11400
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2019
Last updated
09/04/2020
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