Individual
TANYA GAYLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, PHDHP
Contact information
Practice address
81 CLARION RD, JOHNSONBURG, PA 15845-1656
(814) 965-5444
Mailing address
293 OLD MILL RD, KANE, PA 16735-3533
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH068639
PA
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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