Provider Demographics
NPI:1235831389
Name:SAAD MOOSAD TARAR, LLC
Entity Type:Organization
Organization Name:SAAD MOOSAD TARAR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SAAD
Authorized Official - Middle Name:
Authorized Official - Last Name:TARAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:925-434-7596
Mailing Address - Street 1:109 S MADISON ST STE B
Mailing Address - Street 2:
Mailing Address - City:RAYMORE
Mailing Address - State:MO
Mailing Address - Zip Code:64083-8816
Mailing Address - Country:US
Mailing Address - Phone:816-322-8080
Mailing Address - Fax:816-322-3768
Practice Address - Street 1:109 S MADISON ST STE B
Practice Address - Street 2:
Practice Address - City:RAYMORE
Practice Address - State:MO
Practice Address - Zip Code:64083-8816
Practice Address - Country:US
Practice Address - Phone:816-322-8080
Practice Address - Fax:816-322-3768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-21
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental