Individual
DR. TANNER OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3110 KERNER BLVD, SAN RAFAEL, CA 94901-5411
(701) 429-1464
Mailing address
1728 9TH AVE, SAN FRANCISCO, CA 94122-4702
(701) 429-1464
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
110138
CA
Other
Enumeration date
07/26/2021
Last updated
06/10/2024
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