STAFFORD DALE TANNER

MT PLEASANT, SC
NPI1982819348
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: SC  2601)
Enumeration Date2007-05-11
Last Update Date2007-07-08
Business Address
Dr. STAFFORD DALE TANNER D.M.D. PA
1065 JOHNNIE DODDS BLVD STE A
MT PLEASANT, SC 29464-6153
Phone number: 843-884-5166
Mailing Address
Dr. STAFFORD DALE TANNER D.M.D. PA
1065 JOHNNIE DODDS BLVD STE A
MT PLEASANT, SC 29464-6153
Phone number: 843-884-5166