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Individual

DR. GANNON TOLMAN VANALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., CERT.

Contact information

Practice address
3481 E SUNSET RD STE 101, LAS VEGAS, NV 89120-6207
(702) 830-4144
Mailing address
3481 E SUNSET RD STE 101, LAS VEGAS, NV 89120-6207
(702) 830-4144

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
S3-372C
NV

Other

Enumeration date
06/10/2015
Last updated
11/14/2024
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