Taherizadegan, Dona

Taherizadegan, Dona is an sole proprietor health care provider with primary practice located at 5622 Bazydlo Ct , Fort Polk LA 71459-3419. She recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Taherizadegan, Dona can be contacted via phone (805) 857-1215.

Contact Information

Primary practice address
5622 Bazydlo Ct Fort Polk LA 71459-3419
Phone: (805) 857-1215
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 31781 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Kentucky
Dental Providers / Pediatric Dentistry 1223P0221X 31781 Texas

Profile Details

NPI number 1043505365
LBN Legal business name Taherizadegan, Dona
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2011
Last updated Aug 3rd, 2020 - about 6 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.

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