Individual
DR. TARA ANNE VALIQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1851 WELLNESS BLVD, MONROE, NC 28110-7774
(704) 291-7333
(704) 292-1203
Mailing address
1009 SHERRINGHAM WAY, WAXHAW, NC 28173-6854
(919) 360-2322
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0610
NC
Other
Enumeration date
06/27/2007
Last updated
06/24/2014
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