| NPI | 1689991762 |
|---|---|
| Other Name | FOOTHILL DENTAL |
| Entity Type | Organization |
| Authorized Contact | CLELEN C. TANNER Owner 510-733-1455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 26003) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |