Organization
MICHAEL M TANNER, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA ELLIOTT DDS (ADMINISTRATIVE ASSISTANT)
(913) 722-0610
Entity
Organization
Contact information
Practice address
10400 W 103RD ST, SUITE 21, OVERLAND PARK, KS 66214-2640
(913) 722-0610
(913) 722-2893
Mailing address
10400 W 103RD ST, SUITE 21, OVERLAND PARK, KS 66214-2640
(913) 722-0610
(913) 722-2893
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6035
KS
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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