Individual
TANNER MARCUS RESSEGUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
500 S DAVIS ST, HAMILTON, MO 64644-1434
(816) 465-6031
Mailing address
850 FAIRWAY DR, CHILLICOTHE, MO 64601-3673
(660) 646-3802
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2024017548
MO
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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