Individual provider · Type 1 NPI

Mark L. Tannenbaum, DDS

General Practice Dentistry · Burbank, IL

NPI number 1083780167 Active

About NPI 1083780167

Mark L. Tannenbaum, DDS's National Provider Identifier is 1083780167, issued on Nov 28, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Burbank, IL. The record was last updated on Jul 8, 2007.