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Individual

TARA GILPIN BRINDIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
4228 HOUMA BLVD STE 210, METAIRIE, LA 70006-3005
(504) 883-3737
Mailing address
4228 HOUMA BLVD STE 210, METAIRIE, LA 70006-3005
(504) 883-3737

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5967
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1893153
LA
Enumeration date
04/11/2008
Last updated
08/17/2021
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