Individual
DR. THOMAS T TABACHNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
412 E LONGVIEW DR, SUITE C, APPLETON, WI 54911-2168
(920) 427-6465
(920) 991-2517
Mailing address
533 W OLD SLEIGH LN, APPLETON, WI 54913-7174
(920) 427-6465
(920) 991-2517
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5000840015
WI
Other
Enumeration date
11/16/2006
Last updated
04/23/2011
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