Individual
MARTI ANN SIDOLI-TANNER
Active
Individual
MARTI ANN SIDOLI-TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, RDHAP
Taxonomy
Speciality
Code
Description
License number
State
125K00000X
Advanced Practice Dental Therapist
Primary
HAP847
CA
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
Update your record
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