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1699515122
TANNER IRELAND CLARK
KANSAS CITY, MO
NPI
1699515122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MO 2024019621)
Enumeration Date
2024-05-31
Last Update Date
2024-05-31
Business Address
Dr. TANNER IRELAND CLARK DDS
319 NE VIVION RD
KANSAS CITY, MO 64118-4510
Phone number: 816-459-0000
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Mailing Address
Dr. TANNER IRELAND CLARK DDS
5906 W 57TH ST
MISSION, KS 66202-1949
Phone number: 913-293-7527
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