Robert E. Tanner, Dds, Pllc

NPI #1871648519 in Issaquah, Washington

Provider Information

NPI Number: 1871648519
Entity Type: Organization
Organization Name: Robert E. Tanner, Dds, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 24, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 22516 SE 64TH PL
Address 2: STE. #120
City: Issaquah
State: Washington
ZIP Code: 98027-5379
Phone: (425) 392-8882

Authorized Official

Name: DR. ROBERT E. TANNER, DDS
Title: DENTIST
Phone: (425) 392-8882

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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