DR. TARA BRODERSEN, DDS
Dentist - General Practice
Active
Individual
NPI: 1336138882
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | D11913 (MN) |
Frequently Asked Questions
NPI 1336138882 is the National Provider Identifier for DR. TARA BRODERSEN, DDS, a Dentist - General Practice provider located in Saint Paul, MN. This NPI was enumerated on October 18, 2005.
DR. TARA BRODERSEN, DDS practices at 200 UNIVERSITY AVE E, Saint Paul, MN 55101.
Quick Facts
- NPI
- 1336138882
- Type
- Individual
- Enumerated
- Oct 18, 2005
- Last Updated
- Mar 8, 2019
Nearby Providers
-
GEORGIA WARD, PHARMD
Pharmacist
-
MINNESOTA LOTUS LLC
Clinic/Center - Adult Day Care
-
ROBERT WHYTE, R.PH.
Pharmacist
-
KYLIE FLATEN, PA-C
Physician Assistant
-
MS. DENISE BLANKENSHIP, CRNA
Nurse Anesthetist, Certified Registered