Individual
TANNER BOATMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1624 LIBRARY LN, MINDEN, NV 89423-4488
(916) 580-5572
Mailing address
1783 LANTANA DR, MINDEN, NV 89423-5172
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
113088
CA
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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