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1124265814
JEFFREY MICHAEL TANNER
SANTA MONICA, CA
NPI
1124265814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 57780)
Enumeration Date
2009-01-16
Last Update Date
2009-01-16
Business Address
Dr. JEFFREY MICHAEL TANNER D.D.S.
1531 6TH ST APT 202
SANTA MONICA, CA 90401-2535
Phone number: 816-651-5000
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Mailing Address
Dr. JEFFREY MICHAEL TANNER D.D.S.
1531 6TH ST APT 202
SANTA MONICA, CA 90401-2535
Phone number: 816-651-5000
Copy
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