NPI | 1194745620 |
---|---|
Former Legal Business Name | TANNER AND MOORE |
Entity Type | Organization |
Authorized Contact | LOUANN ALLEN Practice Manager 816-561-1115 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MO DE015905) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MO DE015216) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2020-08-22 |