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1114069622
TIMOTHY WAYNE TANNICH
MIDLAND, TX
NPI
1114069622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 12245)
Enumeration Date
2007-02-12
Last Update Date
2007-07-08
Business Address
Dr. TIMOTHY WAYNE TANNICH D.D.S.
1804 W WALL ST
MIDLAND, TX 79701-6532
Phone number: 432-684-8112
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Mailing Address
Dr. TIMOTHY WAYNE TANNICH D.D.S.
1804 W WALL ST
MIDLAND, TX 79701-6532
Phone number:
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