Individual
MS. TARA MAE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2050 TILDEN AVE, NEW HARTFORD, NY 13413
(315) 737-2466
Mailing address
2050 TILDEN AVE, NEW HARTFORD, NY 13413-3613
(315) 737-2466
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
026236
NY
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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