Individual
DR. TANNER FLAHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4346 E 53RD ST, DAVENPORT, IA 52807-3039
(563) 355-5393
(563) 355-3447
Mailing address
4346 E 53RD ST, DAVENPORT, IA 52807-3039
(563) 355-5393
(563) 355-3447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019029124
IL
Other
Enumeration date
07/15/2012
Last updated
07/15/2012
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