Nathan Tanner PC

NPI #1144862293 in Jackson, Wyoming

Provider Information

NPI Number
1144862293
Entity Type
Organization
Organization Name
Nathan Tanner PC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Oct 10, 2019
Last Updated
Oct 10, 2019

Practice Location

Address
200 E BROADWAY
State
Wyoming
ZIP Code
83001
Phone
(307) 733-2555

Authorized Official

Name
LYNETTE KRAUSE
Title
INSURANCE COORDINATOR
Phone
(307) 733-2555

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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