Individual
TARA WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 W 8TH ST, COFFEYVILLE, KS 67337-4109
(620) 251-4979
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
10/28/2021
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