Individual
MICHELLE TARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
853 11TH AVE, NEW YORK, NY 10019-1013
(464) 376-0626
Mailing address
152 E 84TH ST APT 4B, NEW YORK, NY 10028-2027
(240) 285-7618
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062649
NY
Other
Enumeration date
03/01/2021
Last updated
08/25/2022
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