Neal Bradley Wanner, DDS
NPI #1508936766 in Kent, Washington
Provider Information
- NPI Number
- 1508936766
- Entity Type
- Individual
- Name
- Neal Bradley Wanner, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Nov 8, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 120 STATE AVE N
- City
- Kent
- State
- Washington
- ZIP Code
- 98030-4554
- Phone
- (253) 852-3929
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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