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1356548184
TARA LEIGH SECRET
CHARLOTTE, NC
NPI
1356548184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WV 3710)
Enumeration Date
2007-06-27
Last Update Date
2007-07-08
Business Address
Dr. TARA LEIGH SECRET DDS
8220 UNIVERSITY EXECUTIVE DR SUITE 111
CHARLOTTE, NC 28262
Phone number: 704-548-8563
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Mailing Address
Dr. TARA LEIGH SECRET DDS
741 MULBERRY AVE
CLARKSBURG, WV 26301-2651
Phone number: 304-669-8999
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