institution
Nathan Tanner Pc
Dental Clinic/Center in Jackson, Wyoming
NPI 1144862293

Nathan Tanner Pc is a Dental Clinic/Center based in Jackson, WY and is specialized in Dental. Nathan Tanner Pc practices in Jackson, WY. The NPI Number for Nathan Tanner Pc is 1144862293 and holds a License No. (Wyoming).

The current practice location address for Nathan Tanner Pc is 200 E Broadway, Jackson, WY and can be reached out via phone at 307-733-2555. You can also correspond with Nathan Tanner Pc through the mailing address at PO BOX 1190, JACKSON, WY - 83001-1190 (mailing address contact number: ).

Location: 200 E Broadway, Jackson, WY, 83001-1190
institution
Provider Profile Details
NPI Number
1144862293
Provider Name
Nathan Tanner Pc
Credential
Provider Entity Type
Organization
Address
200 E Broadway, Jackson, WY, 83001-1190
Phone Number
307-733-2555
Fax Number
Provider Enumeration Date
10/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 E Broadway
City
State
Zip
83001
Phone Number
307-733-2555
Fax Number
person
Provider Business Mailing Address Details
Address
200 E Broadway
City
State
Zip
83001
Phone Number
307-733-2555
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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