Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Dental |
261QD0000X | |||
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Orofacial Pain |
1223X2210X |
| NPI Number | 1275098279 |
| LBN Legal business name | TANYA KUSHNER PLLC |
| Authorized official | JOSY HAGGARD - (OFFICE MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/04/2019 |
| Last updated | 11/02/2022 - About 4 years ago |
| Identifiers | n/a |
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TANYA KUSHNER PLLC
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