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Individual
DR. WILLIAM P TENNANT
Active
Individual
DR. WILLIAM P TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
WILLIAM TENNANT
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23247
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23247
DENTAL LISCENSE
CA
Enumeration date
10/25/2006
Last updated
04/30/2008
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