Search › Pennsylvania › 1223G0001X
Tanner Clark, D.M.D
NPI 1679841811 · on the registry since 2011 · sole proprietor
Practice
- Address
- 2203 Fitzwater St Unit 1
Philadelphia, PA 19146 - Phone
- (208) 317-8555
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-04-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania