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1932718392
TANNER BRENT GREGORY
LUBBOCK, TX
NPI
1932718392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 36445)
Enumeration Date
2020-07-30
Last Update Date
2020-07-30
Business Address
Dr. TANNER BRENT GREGORY DDS
3302 64TH ST
LUBBOCK, TX 79413-5743
Phone number: 806-792-4889
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Mailing Address
Dr. TANNER BRENT GREGORY DDS
3302 64TH ST
LUBBOCK, TX 79413-5743
Phone number:
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