TANNER J. MCKENNA

MADISON, WI
NPI1033111513
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  5691-015)
Enumeration Date2005-08-13
Last Update Date2007-07-08
Business Address
Dr. TANNER J. MCKENNA D.D.S.
1410 NORTHPORT DR
MADISON, WI 53704-2041
Phone number: 608-244-3410
Mailing Address
Dr. TANNER J. MCKENNA D.D.S.
1410 NORTHPORT DR
MADISON, WI 53704-2041
Phone number: 608-244-3410
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