DR. Tara Kimberly Broderick, DMD

NPI #1467504472 in Hackensack, New Jersey

Provider Information

NPI Number: 1467504472
Entity Type: Individual
Name: DR. Tara Kimberly Broderick, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jan 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 645 MAIN ST
City: Hackensack
State: New Jersey
ZIP Code: 07601-4712
Phone: (201) 488-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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