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NPI Code Detail

MEDICARE: DR. TANIA ELHAM RAMEZANI DDS

MEDICARE: DR. TANIA ELHAM RAMEZANI DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist37760TX

General Provider Information

NPI Number : 1548936750
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TANIA ELHAM RAMEZANI DDS
Provider Business Mailing Address
First Line : 9521 VITA DOLCE DR
Second Line :
City : FRISCO
State : TX
Zip : 75035-2387
Country : US
Telephone Number : 214-417-8775
Fax Number :
Provider Business Practice Location Address
First Line : 7120 COIT RD STE 110
Second Line :
City : PLANO
State : TX
Zip : 75025-2097
Country : US
Telephone Number : 972-208-0333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2021
Last Update Date : 08/18/2021

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