Individual
ABIGAIL TARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12711 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6053
(360) 896-4484
Mailing address
3618 SE 190TH AVE, VANCOUVER, WA 98683-1460
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
08/01/2013
Last updated
08/05/2013
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