Individual
TARA MARIE BONNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, BS, MBA
Contact information
Practice address
1752 28TH AVE, GREELEY, CO 80634-5715
(303) 808-7722
Mailing address
1752 28TH AVE, GREELEY, CO 80634-5715
(303) 808-7722
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
002024691
CO
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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