Individual
DR. JOYCE TAGARISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4206 WESTVIEW CENTER PLZ, COLUMBUS, OH 43228-2975
(614) 275-0800
(614) 275-0804
Mailing address
4206 WESTVIEW CENTER PLZ, COLUMBUS, OH 43228-2975
(614) 275-0800
(614) 275-0804
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21657
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201127634026
CARESOURCE
OH
05
—
2362072
—
OH
Enumeration date
12/08/2006
Last updated
01/12/2008
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