| David a Tanner DDS Inc | |
|
22800 Lyons Ave Ste 200 Newhall CA 91321-2898 | |
| (661) 254-1884 | |
| Not Available |
| Full Name | David a Tanner DDS Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 22800 Lyons Ave Ste 200, Newhall, California |
| Authorized Official Name and Position | David Tanner (OWNER) |
| Authorized Official Contact | 66122541884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David a Tanner DDS Inc 22800 Lyons Ave Ste 200 Newhall CA 91321-2898 Ph: (661) 254-1884 | David a Tanner DDS Inc 22800 Lyons Ave Ste 200 Newhall CA 91321-2898 Ph: (661) 254-1884 |
| NPI Number | 1508234766 |
|---|---|
| Provider Enumeration Date | 09/04/2015 |
| Last Update Date | 09/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508234766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30463 (California) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | () | Secondary |
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