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: |