Individual
TANNER A. SEAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
405 2ND ST, MARIETTA, OH 45750-2150
(740) 373-6464
Mailing address
1 TIBER WAY, MARIETTA, OH 45750-2911
(614) 315-0160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30025139
OH
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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