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1215080445
CLELEN CLARENCE TANNER
HAYWARD, CA
NPI
1215080445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 26003)
Enumeration Date
2007-01-19
Last Update Date
2007-07-08
Business Address
Dr. CLELEN CLARENCE TANNER DDS
21911 FOOTHILL BLVD
HAYWARD, CA 94541-2118
Phone number: 510-733-1455
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Mailing Address
Dr. CLELEN CLARENCE TANNER DDS
21911 FOOTHILL BLVD
HAYWARD, CA 94541-2118
Phone number: 510-733-1455
Copy
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