Individual
MS. TAMARA LARUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
222 RICHMOND AVE, 130B, BATAVIA, NY 14020-1227
(585) 297-1000
Mailing address
48 DOMEDION AVE, LOWER, BUFFALO, NY 14211-2109
(716) 533-0393
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
024890
NY
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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