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

DR. TARA BROOKE BOSHNACK, DDS

Active

Dentist · LAS VEGAS, NV

Registration Details

NPI Number
1437401619
Provider Type
Individual
Gender
Female
NPI Issued
Oct 11, 2012 (13.52670635007 yrs)
Last Updated
Oct 7, 2014
Licenses
6271 (NV)
DN19585 (FL)
056092 (NY)

Practice Information

Address
4955 S DURANGO DR
201
LAS VEGAS, NV, 89113
Browse NV providers · Browse ZIP 89113
Phone
7029337275
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist
Additional Specialty
Dentist

Other Dentist Providers in LAS VEGAS, NV

Name Credential NPI
DR. FRED L HOROWITZ D.M.D. 1265435200
DR. KEITH B MCDONALD D.D.S. 1164425179
DR. JEFFERY WILLIAM HADLEY DDS 1649277252
MR. CALVIN R. DYKES D.D.S. 1255330668
DR. JOAN LANDRON DMD 1003892126
DR. FARSHAD ATHARI DDS 1386623841
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.