Individual
MRS. TARA NICHOLE POOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
711 W 90TH TER, KANSAS CITY, MO 64114-3548
(913) 638-5768
Mailing address
1640 CHARLES PL., STE 101, MANHATTAN, KS 66502
(785) 537-8484
(785) 537-2281
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60676
KS
Other
Enumeration date
03/25/2009
Last updated
10/27/2009
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