NPI 1154091452
Tara Houdek, RDH
Practice location
- Address
- 5123 W 98th Street # 1207, Minneapolis, MN 55437-7543
- Phone
- (612) 564-0162
- Mailing address
- 5123 W 98th Street #1207, Minneapolis, MN 55437-7543
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1154091452
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Sep 2021
- Record last updated
- 20 Oct 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.