Individual provider · Type 1 NPI

Tara Kimberly Broderick, DMD

General Practice Dentistry · Hackensack, NJ

NPI number 1467504472 Active

About NPI 1467504472

Tara Kimberly Broderick, DMD's National Provider Identifier is 1467504472, issued on Jan 18, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Hackensack, NJ. The record was last updated on Jul 8, 2007.