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Individual

DR. NATHAN PALMER TENNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
18275 N 59TH AVE # C114, GLENDALE, AZ 85308-1260
(206) 978-1790
(602) 978-5211
Mailing address
9325 W LOUISE DR, PEORIA, AZ 85383
(623) 687-7940

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29099
TX
122300000X
Dentist
D009671
AZ

Other

Enumeration date
08/02/2013
Last updated
07/21/2022
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