NEAL BRADLEY WANNER

KENT, WA
NPI1508936766
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: WA  251-030005883)
Enumeration Date2006-11-08
Last Update Date2007-07-08
Business Address
-- NEAL BRADLEY WANNER DDS
120 STATE AVE N
KENT, WA 98030-4554
Phone number: 253-852-3929
Mailing Address
-- NEAL BRADLEY WANNER DDS
120 STATE AVE N
KENT, WA 98030-4554
Phone number: 253-630-4542