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Organization
ROBERT E. TANNER, DDS, PLLC
Active
Organization
ROBERT E. TANNER, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E. TANNER DDS (DENTIST)
(425) 392-8882
Entity
Organization
Contact information
Practice address
22516 SE 64TH PL, STE. #120, ISSAQUAH, WA 98027-5379
(425) 392-8882
(425) 392-9101
Mailing address
22516 SE 64TH PL, STE. #120, ISSAQUAH, WA 98027-5379
(425) 392-8882
(425) 392-9101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006439
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5017793
—
WA
Enumeration date
01/24/2007
Last updated
08/22/2020
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