Tamara Larue R.D.H.

NPI 1265874663 - Dental Hygienist - 124Q00000X

NPI Details
NPI 1265874663
Gender Female
Enumeration Date 07/25/2013
Last Updated 07/25/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
222 RICHMOND AVE
130B
BATAVIA NY, 14020-1227, US
Phone (585) 297-1000
Fax
Business Location
48 DOMEDION AVE
LOWER
BUFFALO NY, 14211-2109, US
Phone (716) 533-0393
Fax
Toxanomy
Taxonomy Code 124Q00000X
License State New York
License Number 024890
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According to our database, Ms. Tamara Larue R.D.H. NPI is 1265874663, taxonomy code is 124Q00000X and license number is 024890, license state is located at New York. Tamara Larue R.D.H. physically located at 222 Richmond Ave, Batavia NY, 14020-1227. NPI Number Tamara Larue R.D.H. has the Individual type.

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1265874663 NPI number is provided on an as is basis without warranty of any kind. 1265874663 is maintained by the National Plan & Provider Enumeration System. The contents of Tamara Larue R.D.H. are for informational purposes only.