Individual
DR. TARA LAMBERT MONCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
371 MCCURDY AVE S, RAINSVILLE, AL 35986-5215
(256) 638-3000
Mailing address
PO BOX 1069, RAINSVILLE, AL 35986-1069
(256) 638-3000
(256) 638-3099
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5126
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009932625
—
AL
Enumeration date
06/15/2005
Last updated
11/30/2009
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