Individual
PATRICIA TARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
701 PARK AVE, P7, MINNEAPOLIS, MN 55415-1623
(612) 873-2370
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10017
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
656015600
—
MN
Enumeration date
05/19/2006
Last updated
07/30/2007
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