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Individual
MARTIN A TAHARA
Active
Individual
MARTIN A TAHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
5219-015
WI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D11409
MN
Other
Enumeration date
01/23/2006
Last updated
07/13/2026
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