DR. Daniel Lee Tannen, DDS

NPI #1154094159 in Cannon Afb, New Mexico

Provider Information

NPI Number: 1154094159
Entity Type: Individual
Name: DR. Daniel Lee Tannen, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 27, 2021
Last Updated: Aug 6, 2024

Practice Location

Address: 224 W D.L. INGRAM AVENUE, BLDG. 1408
City: Cannon Afb
State: New Mexico
ZIP Code: 88103
Phone: (575) 784-4041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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