DR. TANNER CLARK, D.D.S., M.S.
Dentist - Orthodontics and Dentofacial Orthopedics
Active
Individual
NPI: 1790734796
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Orthodontics and Dentofacial Orthopedics | 1223X0400X | Yes | 08880 (IA) |
Frequently Asked Questions
NPI 1790734796 is the National Provider Identifier for DR. TANNER CLARK, D.D.S., M.S., a Dentist - Orthodontics and Dentofacial Orthopedics provider located in North Liberty, IA. This NPI was enumerated on May 8, 2006.
DR. TANNER CLARK, D.D.S., M.S. practices at 650 W. CHERRY ST., SUITE 5, North Liberty, IA 52317.
Quick Facts
- NPI
- 1790734796
- Type
- Individual
- Enumerated
- May 8, 2006
- Last Updated
- Jan 26, 2012
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