TIMOTHY WAYNE TANNICH

MIDLAND, TX
NPI1114069622
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  12245)
Enumeration Date2007-02-12
Last Update Date2007-07-08
Business Address
Dr. TIMOTHY WAYNE TANNICH D.D.S.
1804 W WALL ST
MIDLAND, TX 79701-6532
Phone number: 432-684-8112
Mailing Address
Dr. TIMOTHY WAYNE TANNICH D.D.S.
1804 W WALL ST
MIDLAND, TX 79701-6532
Phone number: