Individual
TANNER DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE60967449
WA
1223G0001X
General Practice Dentistry
DE60967449
WA
1223P0221X
Pediatric Dentistry
Primary
D012788
AZ
Other
Enumeration date
07/10/2019
Last updated
06/09/2026
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