Tara Aboumahboub, DMD
Dentist in Cincinnati, OH. Individual provider (NPI-1).
NPI number1831760487
StatusActive
Last updated in NPPESJul 6, 2021
Details
- NPI
- 1831760487
- Entity type
- Individual (NPI-1)
- Name
- Tara Aboumahboub
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 6, 2021
- Certification date
- Jun 14, 2021
- Last updated
- Jul 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 30.026572 | OH | Yes |
| 122300000X | Dentist | DN26134 | FL | |
| 122300000X | Dentist | 26134 | FL |
Practice location
425 Walnut St Ste 201Cincinnati, OH 45202-3939
Phone 561-866-6692
Mailing address
721 Main St Apt 805Cincinnati, OH 45202-3665
Phone 561-866-6692
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