Individual
DR. GABRIEL FORTES TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
115 E COLLEGE ST, STANLEY, NC 28164-1815
(704) 263-8845
Mailing address
525 E 21ST ST APT 323, CHARLOTTE, NC 28206-3890
(919) 218-6531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13297
NC
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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