Individual
TANU KHURANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4125 HARBOR TOWN LN, MANITOWOC, WI 54220-5855
(920) 686-3200
Mailing address
1614 HALSEY ST, GREEN BAY, WI 54301-2418
(412) 657-8966
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002331
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2020
Last updated
06/26/2020
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