JON D TANNER, DDS, PC
Dentist at 21 Ave, Fairbanks, AK

License number
Alaska D 868
Category
Dentist
Type
Dentist
Owner
Name: JON D TANNER DDS
Title: PRESIDENT
Phone: (907) 456-5665
Address
Address
1305 21St Ave SUITE 102, Fairbanks, AK 99701
National Provider ID: 1851634265
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JON D. TANNER, D.D.S., A PROFESSIONAL CORPORATION

1305 21 Ave STE 102, Fairbanks, AK 99701

Status:
Inactive
Registration:
Jul 27, 2001
State ID:
73837D
Business type:
Professional Corporation
Expiration:
Perpetual
Director, President, Shareholder, Secretary, Treasurer, Vice President:
Jon D Tanner (Director, President, Shareholder, Secretary, Treasurer, Vice President)
Agent:
Jon D Tanner D.d.s,1305 21 Ave STE 102, Fairbanks, AK 99701 (Mailing)

Dentist licenses in Alaska