Individual
DR. TANNER WILLIAM MOIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
303 S 8TH ST, LARAMIE, WY 82070-3914
(307) 742-0722
(307) 742-0727
Mailing address
850 MAIN ST, LANDER, WY 82520-3038
(307) 332-2201
(307) 332-2295
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1450
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145375100
—
WY
Enumeration date
06/27/2016
Last updated
07/21/2022
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