Individual
DR. TANNER THOMAS BROLSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2400 W 41ST ST, SIOUX FALLS, SD 57105-6119
(605) 679-7227
Mailing address
7601 W WILSON DR, SIOUX FALLS, SD 57106-7649
(641) 512-4223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1274
SD
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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