Individual
DR. TANNER GARDNER PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
320 RIVER PARK DR STE 225, PROVO, UT 84604-6065
(801) 225-7111
Mailing address
320 RIVER PARK DR STE 225, PROVO, UT 84604-6065
(801) 225-7111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11256978-9922
UT
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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