Individual
DR. MICHAEL I. TANUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
15 HOPKINS AVE., NONTAUK, NY 11954
(631) 668-2965
(631) 668-3027
Mailing address
PO BOX 280, NONTAUK, NY 11954
(631) 668-2965
(631) 668-3027
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22080
NY
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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