Most Relevant Information
Provider Data
| NPI Number: | 1003811241 |
| Provider Name: | TARA LAMBERT MONCUS DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223P0221X |
| Specialty: | Dentist |
| License Number: | 5126 |
Most Important Dates
| Enumeration Date: | 06/15/2005 |
| Last Updated: | 11/30/2009 |
Provider Practice Location
371 MCCURDY AVE S
RAINSVILLE
AL
359865215
Practice Location Phone/Fax
| Phone: | 2566383000 |
| Fax: |
Provider Mailing Location
PO BOX 1069
RAINSVILLE
AL
359861069
Provider Mailing Phone/Fax
| Phone: | 2566383000 |
| Fax: | 2566383099 |