Individual
TARA BUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1801 W WISCONSIN AVE, MILWAUKEE, WI 53233-2186
(414) 288-7485
Mailing address
2176 STEEPLE DR, RICHFIELD, WI 53076-9810
(630) 639-7290
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11371-16
WI
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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