DR. Tara A Mattingly, DMD

NPI #1568772275 in Gilbert, Arizona

Provider Information

NPI Number
1568772275
Entity Type
Individual
Name
DR. Tara A Mattingly, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Oct 15, 2010
Last Updated
Aug 17, 2011

Practice Location

Address
1851 E BASELINE RD
Address 2
103
State
Arizona
ZIP Code
85233-1536
Phone
(480) 558-9000

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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