Tanner Family Dentistry, Devin K. Tanner Dds, LLC
NPI #1346648656 in Green River, Wyoming
Provider Information
- NPI Number
- 1346648656
- Entity Type
- Organization
- Organization Name
- Tanner Family Dentistry, Devin K. Tanner Dds, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 18, 2014
- Last Updated
- Jan 26, 2015
Practice Location
- Address
- 220 SHOSHONE AVE
- City
- Green River
- State
- Wyoming
- ZIP Code
- 82935-5468
- Phone
- (307) 875-7770
Authorized Official
- Name
- DR. DEVIN K TANNER, DDS
- Title
- OWNER
- Phone
- (208) 716-4382
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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