Individual
DR. TARA MARIE GABRIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
825 EUCLID AVE, KANSAS CITY, MO 64124-2323
(816) 474-4920
Mailing address
825 EUCLID AVE, KANSAS CITY, MO 64124-2323
(816) 474-4920
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2001019345
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G3116
—
NM
Enumeration date
01/11/2006
Last updated
09/11/2023
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