DR. Michael M Tanner, D.D.S.

NPI #1205814886 in Overland Park, Kansas

Provider Information

NPI Number
1205814886
Entity Type
Individual
Name
DR. Michael M Tanner, D.D.S.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
Jan 4, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
10400 W 103RD ST
Address 2
SUITE 21
State
Kansas
ZIP Code
66214-2640
Phone
(913) 722-0610

Specialties & Taxonomy Codes

Specialty
Dentist

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