Individual
DR. ELIZABETH M TANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
633 E RAY RD, SUITE 104, GILBERT, AZ 85296-4200
(480) 782-1131
(480) 855-7088
Mailing address
4756 E. BIGHORN AVENUE, PHOENIX, AZ 85044
(480) 664-9504
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D7045
AZ
Other
Enumeration date
10/19/2005
Last updated
07/08/2007
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