Individual
DR. TARA CANDELARIA RATHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2430 BROADWAY ST, STE 101, BOULDER, CO 80304-4129
(303) 786-8899
(303) 247-1881
Mailing address
8732 SKYLAND DR, LONGMONT, CO 80503-7152
(303) 652-6382
(303) 247-1881
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7813
CO
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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