Individual
DR. TARA GOMPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
167 N MAIN STREET, TUBA CITY, AZ 86045
(928) 283-2672
Mailing address
167 N MAIN STREET, TUBA CITY, AZ 86045
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010377
AZ
1223G0001X
General Practice Dentistry
Primary
D13728
MN
Other
Enumeration date
06/30/2016
Last updated
03/13/2026
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