DR. Patrick Mcneil Tanner, DMD

NPI #1790904217 in South Ogden, Utah

Provider Information

NPI Number: 1790904217
Entity Type: Individual
Name: DR. Patrick Mcneil Tanner, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Apr 24, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5856 HARRISON BLVD STE B
City: South Ogden
State: Utah
ZIP Code: 84403-4397
Phone: (801) 475-7776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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