Tanner Gardner Perry, DMD Valid NPI
Individual provider · General Practice Dentistry · Provo, UT
- NPI
- 1013574870
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 11256978-9922 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2019-05-28
- Last updated
- 2019-05-28
Practice location
320 River Park Dr Ste 225
Provo, UT 84604-6065
(801) 225-7111