Organization
ROBERT E. TANNER, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E. TANNER DDS (DENTIST)
(425) 392-8882
Entity
Organization
Contact information
Practice address
22516 SE 64TH PL, STE. #120, ISSAQUAH, WA 98027-5379
(425) 392-8882
(425) 392-9101
Mailing address
22516 SE 64TH PL, STE. #120, ISSAQUAH, WA 98027-5379
(425) 392-8882
(425) 392-9101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006439
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5017793
—
WA
Enumeration date
01/24/2007
Last updated
08/22/2020
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