Individual
DEVIN K. TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
125 W FLAMING GORGE WAY STE B, GREEN RIVER, WY 82935-4213
(307) 875-7770
Mailing address
PO BOX 127, GREEN RIVER, WY 82935-0127
(307) 875-7770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1382
WY
Other
Enumeration date
07/07/2014
Last updated
07/12/2023
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