DR. Robert Blake Tandy, D.D.S., M.S.

NPI #1043232499 in Ukiah, California

Provider Information

NPI Number: 1043232499
Entity Type: Individual
Name: DR. Robert Blake Tandy, D.D.S., M.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Periodontics
Credential: D.D.S., M.S.
Enumeration Date: Jul 24, 2006
Last Updated: May 1, 2017

Practice Location

Address: 1236 VISTA VERDE RD
City: Ukiah
State: California
ZIP Code: 95482-7553
Phone: (707) 972-1123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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