Individual
DR. PAUL LEE TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
175 SOUTH CENTER STREET, DUCHESNE, UT 84021-0477
(435) 738-5326
Mailing address
PO BOX 477, DUCHESNE, UT 84021-0477
(435) 738-5326
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1342629921
UT
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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