Tara Nichole Pool DDS

NPI 1043452899 - Dentist - 122300000X

NPI Details
NPI 1043452899
Gender Female
Enumeration Date 03/25/2009
Last Updated 10/27/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
711 W 90TH TER
KANSAS CITY MO, 64114-3548, US
Phone (913) 638-5768
Fax
Business Location
1640 CHARLES PL.
STE 101
MANHATTAN KS, 66502, US
Phone (785) 537-8484
Fax (785) 537-2281
Toxanomy
Taxonomy Code 122300000X
License State Kansas
License Number 60676
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According to our database, Mrs. Tara Nichole Pool DDS NPI is 1043452899, taxonomy code is 122300000X and license number is 60676, license state is located at Kansas. Tara Nichole Pool DDS physically located at 711 W 90th Ter, Kansas City MO, 64114-3548. NPI Number Tara Nichole Pool DDS has the Individual type.

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1043452899 NPI number is provided on an as is basis without warranty of any kind. 1043452899 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Nichole Pool DDS are for informational purposes only.