NPI 1790452878
Marti Ann Sidoli-Tanner, RDHRDHAP
Practice location
- Address
- 6806 W Alluvial Ave, Fresno, CA 93722-3596
- Phone
- (559) 304-4080
- Fax
- (559) 275-3603
Registered specialties
Advanced Practice Dental Therapist
Primary
Registry record
- NPI
- 1790452878
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Aug 2021
- Record last updated
- 25 Aug 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.