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1033111513
TANNER J. MCKENNA
MADISON, WI
NPI
1033111513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 5691-015)
Enumeration Date
2005-08-13
Last Update Date
2007-07-08
Business Address
Dr. TANNER J. MCKENNA D.D.S.
1410 NORTHPORT DR
MADISON, WI 53704-2041
Phone number: 608-244-3410
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Mailing Address
Dr. TANNER J. MCKENNA D.D.S.
1410 NORTHPORT DR
MADISON, WI 53704-2041
Phone number: 608-244-3410
Copy
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