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1093010779
RONALD GREEN TANEGA
SAN FRANCISCO, CA
NPI
1093010779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 57589)
Enumeration Date
2011-01-11
Last Update Date
2011-01-11
Business Address
Dr. RONALD GREEN TANEGA DMD
377 LONDON ST
SAN FRANCISCO, CA 94112-2725
Phone number: 415-412-5934
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Mailing Address
Dr. RONALD GREEN TANEGA DMD
377 LONDON ST
SAN FRANCISCO, CA 94112-2725
Phone number: 415-412-5934
Copy
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