Individual
TARA HOUDEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5123 W 98TH STREET # 1207, MINNEAPOLIS, MN 55437-7543
(612) 564-0162
Mailing address
5123 W 98TH STREET #1207, MINNEAPOLIS, MN 55437-7543
(612) 564-0162
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5278
MN
Other
Enumeration date
09/17/2021
Last updated
10/20/2021
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