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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARTIN A TAHARA, DMD, MD

Active

MARTIN A TAHARA, DMD, MD is a Oral & Maxillofacial Surgery healthcare provider located in STILLWATER, Minnesota. NPI 1053381061 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · STILLWATER, MN

Registration Details

NPI Number
1053381061
Provider Type
Individual
Gender
Male
NPI Issued
Jan 23, 2006 (20.367162405896 yrs)
Last Updated
Jul 9, 2007
Licenses
D11409 (MN)
5219-015 (WI)

Practice Information

Address
1701 CURVE CREST BLVD W
SUITE 108
STILLWATER, MN, 550826044
Browse MN providers · Browse ZIP 55082
Phone
6514398030
Fax
6513510821
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in STILLWATER, MN

Name Credential NPI
MR. RICHARD WILLIAM BRUNTON D.D.S. 1235128992
STEVEN D JOHNSON DDS 1023088622
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.