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Clelen C. Tanner, Dds, Inc
General Practice Dentistry in Hayward, California
NPI 1689991762

Clelen C. Tanner, Dds, Inc is a General Practice Dentistry based in Hayward, CA and is specialized in General Practice. Clelen C. Tanner, Dds, Inc practices in Hayward, CA. The NPI Number for Clelen C. Tanner, Dds, Inc is 1689991762 and holds a License No. 26003 (California).

The current practice location address for Clelen C. Tanner, Dds, Inc is 21911 Foothill Blvd, Hayward, CA and can be reached out via phone at 510-733-1455 and via fax at 510-889-8395.

Location: 21911 Foothill Blvd, Hayward, CA, 94541-2118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689991762
Provider Name
Clelen C. Tanner, Dds, Inc
Credential
Provider Entity Type
Organization
Address
21911 Foothill Blvd, Hayward, CA, 94541-2118
Phone Number
510-733-1455
Fax Number
510-889-8395
Provider Enumeration Date
04/28/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1215080445 01 CA NPI
institution
Provider Business Practice Location Address Details
Address
21911 Foothill Blvd
City
Hayward
State
California
Zip
94541-2118
Phone Number
510-733-1455
Fax Number
510-889-8395
person
Provider Business Mailing Address Details
Address
21911 Foothill Blvd
City
Hayward
State
California
Zip
94541-2118
Phone Number
510-733-1455
Fax Number
510-889-8395
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
26003 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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