Organization
REDWOOD FAMILY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN MILO TANNER D.M.D. (DENTIST)
(360) 989-0500
Entity
Organization
Contact information
Practice address
1867 REDWOOD AVE, SUITE 14, GRANTS PASS, OR 97527-6408
(541) 474-2775
(541) 474-5005
Mailing address
1867 REDWOOD AVE, SUITE 14, GRANTS PASS, OR 97527-6408
(541) 474-2775
(541) 474-5005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/11/2010
Last updated
08/13/2010
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