Individual
TANNER GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4727 E. PECOS RD., SUITE 101, GILBERT, AZ 85295
(480) 807-4000
Mailing address
4727 E. PECOS RD., SUITE 101, GILBERT, AZ 85295
(480) 807-4000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010329
AZ
Other
Enumeration date
05/23/2019
Last updated
04/27/2026
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