Individual
DR. TARA POWERS MATHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, DMD
Contact information
Practice address
707 PARNASSUS AVE # D1201, SAN FRANCISCO, CA 94143-2210
(415) 476-8220
Mailing address
707 PARNASSUS AVE # D1201, SAN FRANCISCO, CA 94143-2210
(415) 476-8220
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
A182566
CA
208600000X
Surgery Physician
A182566
CA
Other
Enumeration date
07/15/2018
Last updated
10/17/2025
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