Individual
DR. TARA DEVI NATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4520 PRETTY LAKE AVE STE 201, NORFOLK, VA 23518-1826
(757) 699-5847
Mailing address
604 W 34TH ST, NORFOLK, VA 23508-3142
(727) 458-2982
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35339
TX
1223G0001X
General Practice Dentistry
0401419070
VA
Other
Enumeration date
07/11/2019
Last updated
09/04/2024
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