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Organization
KEVIN R TANNER, DDS A DENTAL CORPORATION
Active
Organization
KEVIN R TANNER, DDS A DENTAL CORPORATION
Active
Other names
Almond Orchard Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
JADGEV HEIR (CEO/PRESIDENT)
(518) 441-5483
Entity
Organization
Contact information
Practice address
8089 MADISON AVENUE, SUITE 2, CITRUS HEIGHTS, CA 95610
(916) 966-1473
Mailing address
4170 TRUXEL ROAD, SUITE C, SACRAMENTO, CA 95834
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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