Individual
AMIR ADEL TADROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
940 CHURCH RD W, SOUTHAVEN, MS 38671-9611
(662) 253-8027
Mailing address
736 FOREST LAKE DR, MEMPHIS, TN 38117-5006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4441-24
MS
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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