Tlararsen Rdh, LLC

NPI #1386050086 in Mt Pleasant, Wisconsin

Provider Information

NPI Number: 1386050086
Entity Type: Organization
Organization Name: Tlararsen Rdh, LLC
Primary Specialty: Dental Hygienist
Enumeration Date: Jul 2, 2014
Last Updated: Jul 2, 2014

Practice Location

Address: 6722 GREEN RIDGE DR
City: Mt Pleasant
State: Wisconsin
ZIP Code: 53406-5114
Phone: (262) 989-8949

Authorized Official

Name: TANYA LARSEN, RDH
Title: OWNER
Phone: (262) 989-8949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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