TANNER D BROCK

WICHITA, KS
NPI1053761072
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: KS  61221)
Additional Taxonomies122300000X Dentist
(Licence: KS  61221)
Enumeration Date2016-06-21
Last Update Date2020-04-14
Business Address
Dr. TANNER D BROCK DDS
2981 N. WEBB RD.
WICHITA, KS 67226
Phone number: 316-685-2731
Mailing Address
Dr. TANNER D BROCK DDS
2981 N. WEBB RD.
WICHITA, KS 67226
Phone number: 316-685-2731