Individual
DR. MARCUS BRIAN TANABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1165 S COLUMBIA RD STE C, GRAND FORKS, ND 58201-4007
(701) 772-7379
(701) 772-9643
Mailing address
1165 S COLUMBIA RD STE C, GRAND FORKS, ND 58201-4007
(701) 772-7379
(701) 772-9643
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1950
ND
Other
Enumeration date
04/25/2007
Last updated
10/31/2013
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