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1013574870
TANNER GARDNER PERRY
PROVO, UT
NPI
1013574870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 11256978-9922)
Enumeration Date
2019-05-28
Last Update Date
2019-05-28
Business Address
Dr. TANNER GARDNER PERRY DMD
320 RIVER PARK DR STE 225
PROVO, UT 84604-6065
Phone number: 801-225-7111
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Mailing Address
Dr. TANNER GARDNER PERRY DMD
320 RIVER PARK DR STE 225
PROVO, UT 84604-6065
Phone number: 801-225-7111
Copy
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