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Organization

DAVID A TANNER DDS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID TANNER DDS (OWNER)
66122541884
Entity
Organization

Contact information

Practice address
22800 LYONS AVE STE 200, NEWHALL, CA 91321-2898
(661) 254-1884
Mailing address
22800 LYONS AVE STE 200, NEWHALL, CA 91321-2898
(661) 254-1884

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30463
CA
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
09/04/2015
Last updated
09/04/2015
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