Individual
DR. RICHARD IAIN TANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
79 W ALEXANDRINE ST FL 3, DETROIT, MI 48201-2015
(313) 576-2551
(313) 576-2556
Mailing address
1479 POPE STREET, LASALLE, ONTARIO N9J3R-8
(519) 819-2555
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
290102739
MI
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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