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Individual

DR. AMY WARD TASCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
140 PROSPECT BLVD, SAINT PAUL, MN 55107-2136
(816) 213-3094
Mailing address
140 PROSPECT BLVD, SAINT PAUL, MN 55107-2136

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13165
MN

Other

Enumeration date
05/14/2008
Last updated
10/29/2014
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