Individual
TANARA DAWN BLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1325 HOVER ST STE 201, LONGMONT, CO 80501-3176
(303) 722-8020
Mailing address
1415 STUART ST APT 8, LONGMONT, CO 80501-2442
(970) 270-0066
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
906209
CO
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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