Individual
DR. TIMOTHY TANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
N80W17707 CUSTER LN, MENOMONEE FALLS, WI 53051-3630
(262) 255-2727
(262) 255-3903
Mailing address
N80W17707 CUSTER LN, MENOMONEE FALLS, WI 53051-3630
(262) 255-2727
(262) 255-3903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5881
WI
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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