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Individual

DR. TARA LYNN VANORDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1715 KUENZLI ST, RENO, NV 89502-1117
(775) 329-5162
(775) 334-4361
Mailing address
1715 KUENZLI ST, RENO, NV 89502-1117
(775) 329-5162
(775) 334-4361

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
5086
NV
1223D0001X
Public Health Dentistry
DE00009193
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004716904
NV
Enumeration date
02/21/2007
Last updated
04/19/2013
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