DR. Tanner D Brock, DDS

NPI #1053761072 in Wichita, Kansas

Provider Information

NPI Number: 1053761072
Entity Type: Individual
Name: DR. Tanner D Brock, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Periodontics
Credential: DDS
Enumeration Date: Jun 21, 2016
Last Updated: Apr 14, 2020

Practice Location

Address: 2981 N. WEBB RD.
City: Wichita
State: Kansas
ZIP Code: 67226
Phone: (316) 685-2731

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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