Individual
ROBERT E TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
22516 SE 64TH PL, STE 120, ISSAQUAH, WA 98027-5379
(425) 392-8882
(425) 392-9101
Mailing address
22516 SE 64TH PL, STE 120, ISSAQUAH, WA 98027-5379
(425) 392-8882
(425) 392-9101
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6439
WA
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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