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Dr. Tara Vonne Brodersen, DDS
General Practice Dentistry in Saint Paul, Minnesota
NPI 1336138882

Tara Vonne Brodersen is a General Practice Dentistry based in Saint Paul, MN and is specialized in General Practice. Tara Vonne Brodersen practices in Saint Paul, MN and has the professional credentials of DDS. The NPI Number for Tara Vonne Brodersen is 1336138882 and holds a License No. D11913 (Minnesota).

The current practice location address for Tara Vonne Brodersen is 200 University Ave E, Saint Paul, MN and can be reached out via phone at 651-291-2848 and via fax at 651-602-6885.

Location: 200 University Ave E, Saint Paul, MN, 55101-2507
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Provider Profile Details
NPI Number
1336138882
Provider Name
Tara Vonne Brodersen
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
200 University Ave E, Saint Paul, MN, 55101-2507
Phone Number
651-291-2848
Fax Number
651-602-6885
Provider Enumeration Date
10/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
H400538336 01 MN MEDICARE UPIN
institution
Provider Business Practice Location Address Details
Address
200 University Ave E
City
State
Zip
55101-2507
Phone Number
651-291-2848
Fax Number
651-602-6885
person
Provider Business Mailing Address Details
Address
200 University Ave E
City
State
Zip
55101-2507
Phone Number
651-291-2848
Fax Number
651-602-6885
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
D11913 (Minnesota)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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