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Individual

DR. TARA ANNE BOGART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
30 CENTRAL PARK S, SUITE 2A, NEW YORK, NY 10019-1628
(212) 371-5250
Mailing address
30 CENTRAL PARK S, SUITE 2A, NEW YORK, NY 10019-1628
(212) 371-5250

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
042936
NY

Other

Enumeration date
02/08/2007
Last updated
12/26/2012
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