Individual
TANNER JAMES NEELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3901 S BOLGER RD, INDEPENDENCE, MO 64055-6779
(816) 708-3760
Mailing address
4504 WASHINGTON ST, KANSAS CITY, MO 64111-3321
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2021019493
MO
Other
Enumeration date
06/08/2021
Last updated
06/09/2021
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