TANNER OLSON

SAN RAFAEL, CA
NPI1518630607
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: CA  110138)
Enumeration Date2021-07-26
Last Update Date2024-06-10
Business Address
Dr. TANNER OLSON DDS
3110 KERNER BLVD
SAN RAFAEL, CA 94901-5411
Phone number: 701-429-1464
Mailing Address
Dr. TANNER OLSON DDS
1728 9TH AVE
SAN FRANCISCO, CA 94122-4702
Phone number: 701-429-1464
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