Individual
DR. STEPHEN TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
444 SAINT MICHAELS DR STE C, SANTA FE, NM 87505-7674
(505) 670-6145
Mailing address
235 HARKINS LN, SANTA FE, NM 87501-2214
(925) 788-6522
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
35557
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DD2457
NM
Other
Enumeration date
07/19/2006
Last updated
05/18/2020
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