Jason M Tanzer D.M.D.

NPI 1659583250 - Dentist - 1223G0001X

NPI Details
NPI 1659583250
Gender Male
Enumeration Date 05/04/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
263 FARMINGTON AVENUE
UNIVERSITY DENTISTS
FARMINGTON CT, 06030-2820, US
Phone (860) 679-3170
Fax (860) 679-8162
Business Location
263 FARMINGTON AVENUE
UNIVERSITY DENTISTS
FARMINGTON CT, 06030-2820, US
Phone (860) 679-3170
Fax (860) 679-8162
Toxanomy
Taxonomy Code 1223G0001X
License State Connecticut
License Number PO4335
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According to our database, Dr. Jason M Tanzer D.M.D. NPI is 1659583250, taxonomy code is 1223G0001X and license number is PO4335, license state is located at Connecticut. Jason M Tanzer D.M.D. physically located at 263 Farmington Avenue, Farmington CT, 06030-2820. NPI Number Jason M Tanzer D.M.D. has the Individual type.

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1659583250 NPI number is provided on an as is basis without warranty of any kind. 1659583250 is maintained by the National Plan & Provider Enumeration System. The contents of Jason M Tanzer D.M.D. are for informational purposes only.