Individual
DR. ANDREA ELIZABETH TANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
300 LACKAWANNA AVE, SCRANTON, PA 18503-2001
(570) 343-4472
Mailing address
601 N ABINGTON RD, WAVERLY TOWNSHIP, PA 18411-2315
(267) 466-8038
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS044077
PA
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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