Individual
DR. TARA LYNN GOSTOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
14 COUNTY ROAD 520, SUITE D, ENGLISHTOWN, NJ 07726-8297
(732) 617-1211
(732) 617-1144
Mailing address
14 COUNTY ROAD 520, SUITE D, ENGLISHTOWN, NJ 07726-8297
(732) 617-1211
(732) 617-1144
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02184200
NJ
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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