Individual
GAIL TANKSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2310 7TH AVE APT 2, NEW YORK, NY 10030-2684
(917) 981-7113
Mailing address
2266 FIFTH AVENUE, PO BOX 523, NEW YORK, NY 10037
(917) 981-7113
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
042089-1
NY
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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