| Kevin R Tanner, Dds A Dental Corporation | |
|
8089 Madison Avenue Suite 2 Citrus Heights CA 95610 | |
| (916) 966-1473 | |
| Not Available |
| Full Name | Kevin R Tanner, Dds A Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8089 Madison Avenue, Citrus Heights, California |
| Authorized Official Name and Position | Jadgev Heir (CEO/PRESIDENT) |
| Authorized Official Contact | 5184415483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin R Tanner, Dds A Dental Corporation 4170 Truxel Road Suite C Sacramento CA 95834 Ph: () - | Kevin R Tanner, Dds A Dental Corporation 8089 Madison Avenue Suite 2 Citrus Heights CA 95610 Ph: (916) 966-1473 |
| NPI Number | 1366122376 |
|---|---|
| Provider Enumeration Date | 07/24/2023 |
| Last Update Date | 07/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366122376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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