Organization
RICHARD J. TANANIS, D.D.S., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J TANANIS D.D.S. (DENTIST)
(302) 875-4271
Entity
Organization
Contact information
Practice address
30599 SUSSEX HWY, UNIT #3, LAUREL, DE 19956-4417
(302) 875-4271
(302) 875-9441
Mailing address
30599 SUSSEX HWY, UNIT #3, LAUREL, DE 19956-4417
(302) 875-4271
(302) 875-9441
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2005210238
DE
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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