Individual
TANYA M ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
516 E. NIZHONI BLVD., GALLUP, NM 87301-1337
(505) 722-1000
(505) 722-1310
Mailing address
516 E. NIZHONI BLVD., BOX 1337, GALLUP, NM 87301-1337
(505) 722-1000
(505) 722-1310
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
045126-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17435269
—
NM
05
—
950239
—
AZ
Enumeration date
07/10/2006
Last updated
07/08/2007
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