(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003474966
Provider Name: TANNER CHRISTOPHER LARSON DMD
Entity Type: Individual
Taxonomy Code: 122300000X
Specialty: Dentist
License Number: D010330
Most Important Dates
Enumeration Date: 06/04/2019
Last Updated: 06/04/2019
Provider Practice Location
1093 HANCOCK RD
BULLHEAD CITY
AZ
864425904
Practice Location Phone/Fax
Phone: 9287585588
Fax:
Provider Mailing Location
1093 HANCOCK RD
BULLHEAD CITY
AZ
864425904
Provider Mailing Phone/Fax
Phone: 9287585588
Fax: