George a Tanksley Jr Dmd a Professinal Corporation

NPI #1376609305 in Las Vegas, Nevada

Provider Information

NPI Number: 1376609305
Entity Type: Organization
Organization Name: George a Tanksley Jr Dmd a Professinal Corporation
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 27, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4250 S RAINBOW BLVD
Address 2: SUITE 1004
City: Las Vegas
State: Nevada
ZIP Code: 89103-3159
Phone: (702) 364-9700

Authorized Official

Name: DR. GEORGE ARTHUR TANKSLEY JR., DMD
Title: DOCTOR OWNER
Phone: (702) 364-9700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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