Individual
DR. TARA RENE DOHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2600 LAFRANIER RD, TRAVERSE CITY, MI 49686-4765
(866) 878-6557
Mailing address
3488 MAHONEY DR, TRAVERSE CITY, MI 49696-9001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601288
MI
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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