Individual
CHRISTINA TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 CALLAWAY BLVD, LA CROSSE, WI 54603-1102
(608) 385-3236
Mailing address
500 CALLAWAY BLVD, LA CROSSE, WI 54603-1102
(608) 385-3236
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10621-016
WI
124Q00000X
Dental Hygienist
H8585
MN
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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