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Individual

DR. TARA CHRISTINE PLANSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
447 ROUTE 10, SUITE 5, RANDOLPH CENTER FOR ORAL & MAXILLOFACIAL SURGERY, RANDOLPH, NJ 07869
(973) 328-1555
(973) 328-3405
Mailing address
447 ROUTE 10, SUITE 5, RANDOLPH CENTER FOR ORAL & MAXILLOFACIAL SURGERY, RANDOLPH, NJ 07869
(973) 328-1555
(973) 328-3405

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0493921
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI02286202
NJ

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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