Female

Dr. Anita R. Ta DDS

Dentist in Massillon, OH(View on Map)

Full Name

Dr. Anita R Ta DDS

NPI Number

1023014404

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/22/2005

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Licenses

State

Ohio

License Number

30-02-0193

Contact
Information

Purpose

Mailing
Location

Address

2400 WALES AVE NW
2400 WALES AVE NW

City

Massillon
Massillon

State

OH
OH

Postal Code

44646-2366
44646-2366

Country

US
US

Telephone Number

(330) 833-2619
(330) 833-2619

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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