Individual
DR. TANNER RENCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
128 N RIVER ISLAND RD, RUPERT, ID 83350-8450
(262) 228-8922
Mailing address
128 N RIVER ISLAND RD, RUPERT, ID 83350-8450
(262) 228-8922
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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