Dillow, Tara Marie

Dillow, Tara Marie is an individual health care provider with primary practice located at 354Th Mdos/Sgod 2630 Central Ave Ste 1M07, Eielson Afb AK 99702-2397. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Dillow, Tara Marie can be contacted via phone (907) 377-6767.

Contact Information

Primary practice address
354Th Mdos/Sgod 2630 Central Ave Ste 1M07 Eielson Afb AK 99702-2397
Phone: (907) 377-6767
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1548809379
LBN Legal business name Dillow, Tara Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2019
Last updated Dec 26th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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