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Martin A Tahara, DMD,MD
Oral and Maxillofacial Surgery (Dentist) in Stillwater, Minnesota
NPI 1053381061

Martin A Tahara is a Oral and Maxillofacial Surgery (Dentist) based in Stillwater, MN and is specialized in Oral and Maxillofacial Surgery. Martin A Tahara practices in Stillwater, MN and has the professional credentials of DMD,MD. The NPI Number for Martin A Tahara is 1053381061 and holds a License No. D11409 (Minnesota).

The current practice location address for Martin A Tahara is 1701 Curve Crest Blvd W, Stillwater, MN and can be reached out via phone at 651-439-8030 and via fax at 651-351-0821.

Location: 1701 Curve Crest Blvd W, Stillwater, MN, 55082-6044
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Provider Profile Details
NPI Number
1053381061
Provider Name
Martin A Tahara
Credential
DMD,MD
Provider Entity Type
Individual
Gender
Male
Address
1701 Curve Crest Blvd W, Stillwater, MN, 55082-6044
Phone Number
651-439-8030
Fax Number
651-351-0821
Provider Enumeration Date
01/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33761200 05 WI
institution
Provider Business Practice Location Address Details
Address
1701 Curve Crest Blvd W
City
State
Zip
55082-6044
Phone Number
651-439-8030
Fax Number
651-351-0821
person
Provider Business Mailing Address Details
Address
1701 Curve Crest Blvd W
City
State
Zip
55082-6044
Phone Number
651-439-8030
Fax Number
651-351-0821
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
D11409 (Minnesota)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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