Individual
DR. ROBERT BLAKE TANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1236 VISTA VERDE RD, UKIAH, CA 95482-7553
(707) 972-1123
(707) 468-0899
Mailing address
1236 VISTA VERDE RD, UKIAH, CA 95482-7553
(707) 972-1123
(707) 468-0899
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
20052
CA
Other
Enumeration date
07/24/2006
Last updated
05/01/2017
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