Tanner Hunsaker DDS, PLLC
Clinic/Center, Dental in Logan, UT. Organization (NPI-2).
NPI number1679001093
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1679001093
- Entity type
- Organization (NPI-2)
- Legal business name
- Tanner Hunsaker DDS, PLLC
- Organization subpart
- No
- Enumeration date
- May 30, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
290 N 200 ELogan, UT 84321-4488
Phone 435-760-7903
Mailing address
290 N 200 ELogan, UT 84321-4488
Phone 435-760-7903
Authorized official
Tanner W Hunsaker
Owner/President
4357607903
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