Organization
THG DENTAL, PLLC
Active
Other names
Tangerine Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRYM H GIBBONS DDS (OWNER)
(520) 616-4610
Entity
Organization
Contact information
Practice address
12090 N. THORNYDALE, STE 106, MARANA, AZ 85658-4779
(520) 616-4610
(520) 616-4609
Mailing address
12090 N. THORNYDALE, STE 106, MARANA, AZ 85658-4779
(520) 616-4610
(520) 616-4609
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6566
AZ
Other
Enumeration date
07/14/2008
Last updated
01/11/2017
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