DR. Tanner Rencher, DDS

NPI #1437562774 in Rupert, Idaho

Provider Information

NPI Number: 1437562774
Entity Type: Individual
Name: DR. Tanner Rencher, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: DDS
Enumeration Date: Jun 4, 2014
Last Updated: Jun 4, 2014

Practice Location

Address: 128 N RIVER ISLAND RD
City: Rupert
State: Idaho
ZIP Code: 83350-8450
Phone: (262) 228-8922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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