Organization
KONKLE & TANNER DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOUSTON R TANNER DDS (CO-OWNER)
(480) 838-3073
Entity
Organization
Contact information
Practice address
7350 S MCCLINTOCK DR, STE 103, TEMPE, AZ 85283-5006
(480) 838-3073
(480) 838-5504
Mailing address
7350 S MCCLINTOCK DR, STE 103, TEMPE, AZ 85283-5006
(480) 838-3073
(480) 838-5504
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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