Khamo, Tara

Khamo, Tara is an individual health care provider with primary practice located at 4071 Lee Rd Ste 260 , Cleveland OH 44128-2173. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Khamo, Tara can be contacted via phone (216) 861-6200.

Contact Information

Primary practice address
4071 Lee Rd Ste 260 Cleveland OH 44128-2173
Phone: (216) 861-6200
Fax: (216) 363-7490
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X RES.004134 Ohio
Dental Providers / Dentist 122300000X 100221 California

Profile Details

NPI number 1639521404
LBN Legal business name Khamo, Tara
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2016
Last updated Jun 15th, 2019 - 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.

Request for update

Popular Providers