Individual
TALIA SHUMWAY GUBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2158 N GILBERT RD STE 123, MESA, AZ 85203-2111
(480) 649-7200
Mailing address
PO BOX 30311, MESA, AZ 85275-0311
(928) 457-7940
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H009209
AZ
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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