TANNER JAY CLARK

NORTH LIBERTY, IA
NPI1790734796
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IA  08880)
Enumeration Date2006-05-08
Last Update Date2012-01-26
Business Address
Dr. TANNER JAY CLARK D.D.S., M.S.
650 W. CHERRY ST. SUITE 5
NORTH LIBERTY, IA 52317
Phone number: 319-626-3161
Mailing Address
Dr. TANNER JAY CLARK D.D.S., M.S.
650 W. CHERRY ST. SUITE 5
NORTH LIBERTY, IA 52317
Phone number: 319-626-3161