Individual
MRS. TARA INEZ MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
7588 PUTMAN RD, VACAVILLE, CA 95688-9315
(510) 303-5505
(707) 447-4291
Mailing address
7588 PUTMAN RD, VACAVILLE, CA 95688-9315
(510) 303-5505
(707) 447-4291
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
22101
CA
124Q00000X
Dental Hygienist
Primary
241
CA
Other
Enumeration date
07/10/2009
Last updated
03/05/2010
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