CLELEN CLARENCE TANNER

HAYWARD, CA
NPI1215080445
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: CA  26003)
Enumeration Date2007-01-19
Last Update Date2007-07-08
Business Address
DR. CLELEN CLARENCE TANNER DDS
21911 FOOTHILL BLVD
HAYWARD, CA 94541-2118
Phone number: 510-733-1455
Mailing Address
DR. CLELEN CLARENCE TANNER DDS
21911 FOOTHILL BLVD
HAYWARD, CA 94541-2118
Phone number: 510-733-1455
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