Neal Bradley Wanner, DDS Valid NPI
Individual provider · Dentist · Kent, WA
- NPI
- 1508936766
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 251-030005883 (WA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-11-08
- Last updated
- 2007-07-08
Practice location
120 State Ave N
Kent, WA 98030-4554
(253) 852-3929