Diana Tabakh, DDS

NPI #1063556488 in Kansas City, Missouri

Provider Information

NPI Number: 1063556488
Entity Type: Individual
Name: Diana Tabakh, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Feb 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 12927 STATE LINE RD
City: Kansas City
State: Missouri
ZIP Code: 64145-1238
Phone: (816) 942-7669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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