| 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 |