MR. Reza Tahernia, D.M.D.

NPI #1306234166 in Lacey, Washington

Provider Information

NPI Number: 1306234166
Entity Type: Individual
Name: MR. Reza Tahernia, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Jan 2, 2015
Last Updated: Jul 24, 2015

Practice Location

Address: 8050 FREEDON LANE NE
Address 2: SUITE C
City: Lacey
State: Washington
ZIP Code: 98516
Phone: (360) 339-4373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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