Individual
DR. NICHOLAS ALEXANDER TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
509 OLIVE WAY STE 1024, SEATTLE, WA 98101
(206) 623-7296
(206) 623-7227
Mailing address
509 OLIVE WAY STE 1024, SEATTLE, WA 98101-1710
(206) 623-7296
(206) 623-7227
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12011538A
IN
122300000X
Dentist
Primary
DE60271600
WA
Other
Enumeration date
09/24/2010
Last updated
06/20/2018
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