Individual
TANNER GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7712 BANDON CLIFFS ST, NORTH LAS VEGAS, NV 89084-4737
(801) 989-8687
Mailing address
7712 BANDON CLIFFS ST, NORTH LAS VEGAS, NV 89084-4737
(801) 989-8687
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7842
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2023
Last updated
07/03/2023
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