Individual
CHRISTINA ANN TARANTOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
16 S HOLMAN WAY, GOLDEN, CO 80401-5114
(850) 556-1983
Mailing address
16 S HOLMAN WAY, GOLDEN, CO 80401-5114
(850) 556-1983
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH002026712
CO
124Q00000X
Dental Hygienist
DH044551
GA
124Q00000X
Dental Hygienist
DH29221
FL
Other
Enumeration date
06/09/2023
Last updated
02/03/2024
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