Individual
TANNER BRADLEY HARTVIGSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
13761 N LITCHFIELD RD STE 103, SURPRISE, AZ 85379-4272
(623) 975-3933
Mailing address
13761 N LITCHFIELD RD STE 103, SURPRISE, AZ 85379-4272
(623) 975-3933
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D012496
AZ
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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