Tanner, Clelen Clarence
Tanner, Clelen Clarence is an sole proprietor health care provider with primary practice located at 21911 Foothill Blvd , Hayward CA 94541-2118. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Tanner, Clelen Clarence can be contacted via phone (510) 733-1455.Contact Information
Primary practice address
21911 Foothill Blvd
Hayward CA 94541-2118
Phone: (510) 733-1455
Fax: (510) 889-8395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 26003 | California |
Profile Details
| NPI number | 1215080445 |
|---|---|
| LBN Legal business name | Tanner, Clelen Clarence |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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