Resnik, Tara Marie

Resnik, Tara Marie is an sole proprietor health care provider with primary practice located at 229 Wheelhouse Ln Ste 1241 , Lake Mary FL 32746-3665. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / General Practice is her primary health care specialty. Resnik, Tara Marie can be contacted via phone (954) 701-0871.

Contact Information

Primary practice address
229 Wheelhouse Ln Ste 1241 Lake Mary FL 32746-3665
Phone: (954) 701-0871
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS041946 Pennsylvania
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X DN23402 Florida

Profile Details

NPI number 1982195194
LBN Legal business name Resnik, Tara Marie
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2018
Last updated Mar 7th, 2022 - about 4 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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