Kevin R Tanner, DDS a Dental Corporation
NPI #1366122376 in Citrus Heights, California
Provider Information
- NPI Number
- 1366122376
- Entity Type
- Organization
- Organization Name
- Kevin R Tanner, DDS a Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 24, 2023
- Last Updated
- Jul 24, 2023
Practice Location
- Address
- 8089 MADISON AVENUE
- Address 2
- SUITE 2
- City
- Citrus Heights
- State
- California
- ZIP Code
- 95610
- Phone
- (916) 966-1473
Authorized Official
- Name
- JADGEV HEIR
- Title
- CEO/PRESIDENT
- Phone
- (518) 441-5483
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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