Martin A Tahara, DMD, MD
NPI #1053381061 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1053381061
- Entity Type
- Individual
- Name
- Martin A Tahara, DMD, MD
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Credential
- DMD, MD
- Enumeration Date
- Jan 23, 2006
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 1701 CURVE CREST BLVD W
- Address 2
- SUITE 108
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-6044
- Phone
- (651) 439-8030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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