Individual
DR. AMY TANOUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2005 N 90TH ST, OMAHA, NE 68134-6002
(402) 208-8602
Mailing address
2005 N 90TH ST, OMAHA, NE 68134-6002
(402) 208-8602
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7833
NE
Other
Enumeration date
05/29/2022
Last updated
06/29/2022
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