Individual
TANNER ZANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10928 TRINITY PARKWAY, STOCKTON, CA 95219
(415) 622-7002
Mailing address
10940 TRINITY PARKWAY, SUITE C-123, STOCKTON, CA 95219
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
60393
CA
Other
Enumeration date
08/12/2010
Last updated
09/04/2012
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