Robert E Tanner, D.D.S.

NPI #1255773305 in Issaquah, Washington

Provider Information

NPI Number: 1255773305
Entity Type: Individual
Name: Robert E Tanner, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jul 17, 2013
Last Updated: Jul 17, 2013

Practice Location

Address: 22516 SE 64TH PL
Address 2: STE 120
City: Issaquah
State: Washington
ZIP Code: 98027-5379
Phone: (425) 392-8882

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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