John Granville Jenkins, DDS

NPI #1114097144 in Lakeport, California

Provider Information

NPI Number: 1114097144
Entity Type: Individual
Name: John Granville Jenkins, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5335 LAKESHORE BLVD
City: Lakeport
State: California
ZIP Code: 95453-6123
Phone: (707) 263-0196

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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