| Tangerine Dental Care | |
|
12090 N. Thornydale, Ste 106 Marana AZ 85658-4779 | |
| (520) 616-4610 | |
| (520) 616-4609 |
| Full Name | Tangerine Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12090 N. Thornydale, Ste 106, Marana, Arizona |
| Authorized Official Name and Position | Trym H Gibbons (OWNER) |
| Authorized Official Contact | 5206164610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tangerine Dental Care 12090 N. Thornydale, Ste 106 Marana AZ 85658-4779 Ph: (520) 616-4610 | Tangerine Dental Care 12090 N. Thornydale, Ste 106 Marana AZ 85658-4779 Ph: (520) 616-4610 |
| NPI Number | 1669636189 |
|---|---|
| Provider Enumeration Date | 07/14/2008 |
| Last Update Date | 01/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669636189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6566 (Arizona) | Primary |
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