Provider Demographics
NPI:1215009592
Name:TARIQ, ZAFAR SUBHANI (DDS)
Entity Type:Individual
Prefix:DR
First Name:ZAFAR
Middle Name:SUBHANI
Last Name:TARIQ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39525 W 14 MILE RD STE 111
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-1635
Mailing Address - Country:US
Mailing Address - Phone:248-624-2701
Mailing Address - Fax:248-624-3148
Practice Address - Street 1:39525 W 14 MILE RD STE 111
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377-1635
Practice Address - Country:US
Practice Address - Phone:248-624-2701
Practice Address - Fax:248-624-3148
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010189541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice