Tanzim Faruk
Tanzim Faruk is a General Practice Dentistry in Modesto, California. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
3025 McHenry AveModesto, CA 95350-1466
Phone: (209) 527-3990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 105861 (CA) |
|---|
Record details
| NPI number | 1346836558 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 12, 2020 |
| Last updated in NPPES | December 12, 2020 |
| Certification date | December 12, 2020 |
| Mailing address | 9814 E Arizona Dr Apt 523, Aurora, CO 80247-6348 |
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Dr. Bashar Reyad Elmomani
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