DR. Terry Layne Tanner, D.D.S

NPI #1770763013 in Union, Missouri

Provider Information

NPI Number
1770763013
Entity Type
Individual
Name
DR. Terry Layne Tanner, D.D.S
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
D.D.S
Enumeration Date
Nov 4, 2007
Last Updated
Nov 4, 2007

Practice Location

Address
200 W LOCUST ST
City
Union
ZIP Code
63084-1751
Phone
(636) 583-4292

Specialties & Taxonomy Codes

Specialty
Dentist

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