NICHOLAS J TANNER

IDAHO FALLS, ID
NPI1811157001
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D4138)
Enumeration Date2008-06-11
Last Update Date2008-06-11
Business Address
-- NICHOLAS J TANNER D.D.S.
640 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5299
Phone number: 208-523-5400
Mailing Address
-- NICHOLAS J TANNER D.D.S.
640 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5299
Phone number: 208-523-5400
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