DR. Jeremy L Tanner, DMD

NPI #1518156009 in Vail, Arizona

Provider Information

NPI Number: 1518156009
Entity Type: Individual
Name: DR. Jeremy L Tanner, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Oct 19, 2007
Last Updated: Oct 19, 2007

Practice Location

Address: 10682 S KUSH CANYON LN
City: Vail
State: Arizona
ZIP Code: 85641-6809
Phone: (520) 207-5963

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

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