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1568088045
TANNER LORENZ
FARMINGTON, MO
NPI
1568088045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MO 2020017364)
Enumeration Date
2020-06-22
Last Update Date
2020-07-27
Business Address
Dr. TANNER LORENZ DDS
508 W PINE ST
FARMINGTON, MO 63640-1426
Phone number: 573-664-1100
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Mailing Address
Dr. TANNER LORENZ DDS
208 HAWTHORNE DR
FARMINGTON, MO 63640-1151
Phone number: 573-315-9680
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