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1720504699
TANNER SONG
REDLANDS, CA
NPI
1720504699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 101933)
Enumeration Date
2017-08-22
Last Update Date
2017-08-22
Business Address
Dr. TANNER SONG DDS
233 CAJON ST STE 3
REDLANDS, CA 92373-5239
Phone number: 909-844-0497
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Mailing Address
Dr. TANNER SONG DDS
363 SUMMIT AVE
REDLANDS, CA 92373-6853
Phone number: 1909-844-0497
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