DR. Anita R Ta, DDS

NPI #1023014404 in Massillon, Ohio

Provider Information

NPI Number: 1023014404
Entity Type: Individual
Name: DR. Anita R Ta, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 22, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 2400 WALES AVE NW
Address 2: STE B
City: Massillon
State: Ohio
ZIP Code: 44646-2366
Phone: (330) 833-2619

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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