Individual
MR. BRIAN KEITH TANZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
210 E 68TH ST, SUITE 1-E, NEW YORK, NY 10021-6047
(212) 879-2277
Mailing address
POB 16531769, SIOUX FALLS, SD 57186
(212) 879-2277
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
041114
NY
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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