Provider Demographics
NPI:1629083464
Name:TAHER, ROBIN ANN (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:ANN
Last Name:TAHER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 W BOYLSTON ST
Mailing Address - Street 2:
Mailing Address - City:WEST BOYLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:01583-1710
Mailing Address - Country:US
Mailing Address - Phone:508-835-2525
Mailing Address - Fax:508-835-2525
Practice Address - Street 1:32 W BOYLSTON ST
Practice Address - Street 2:
Practice Address - City:WEST BOYLSTON
Practice Address - State:MA
Practice Address - Zip Code:01583-1710
Practice Address - Country:US
Practice Address - Phone:508-835-2525
Practice Address - Fax:508-835-2525
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA195471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice