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Individual

MS. TARA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
400 STATE ROUTE 17M, MONROE, NY 10950
(845) 782-0189
Mailing address
709 DAVOS POINTE G9, WOODRIDGE, NY 12789
(845) 239-9361

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
024682
NY

Other

Enumeration date
06/01/2007
Last updated
07/08/2007
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