Ghazal, Tariq

Ghazal, Tariq is an individual health care provider with primary practice located at 6200 Saratoga Blvd Bldg 1 , Corpus Christi TX 78414-3477. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Ghazal, Tariq can be contacted via phone (361) 992-9500.

Contact Information

Primary practice address
6200 Saratoga Blvd Bldg 1 Corpus Christi TX 78414-3477
Phone: (361) 992-9500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 33769 Texas

Profile Details

NPI number 1770965030
LBN Legal business name Ghazal, Tariq
Credentials BDS, MS, PHD, DABDPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2015
Last updated Apr 26th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770965030 NPPES
Texas Other 33769 TEXAS STATE DENTAL LICENSE

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