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1205814886
MICHAEL M TANNER
OVERLAND PARK, KS
NPI
1205814886
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: KS 6035)
Additional Taxonomies
122300000X Dentist
(Licence: MO 12861)
Enumeration Date
2006-01-04
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL M TANNER D.D.S.
10400 W 103RD ST SUITE 21
OVERLAND PARK, KS 66214-2640
Phone number: 913-722-0610
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Mailing Address
Dr. MICHAEL M TANNER D.D.S.
10400 W 103RD ST SUITE 21
OVERLAND PARK, KS 66214-2640
Phone number: 913-722-0610
Copy
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