Jack L. Semmens DDS Dental Corporation

NPI #1134430325 in Tahoe City, California

Provider Information

NPI Number
1134430325
Entity Type
Organization
Organization Name
Jack L. Semmens DDS Dental Corporation
Primary Specialty
Dentist
Enumeration Date
Jun 23, 2010
Last Updated
Jun 23, 2010

Practice Location

Address
495 NO LAKE BLVD
Address 2
SUITE 270
ZIP Code
96145
Phone
(530) 583-5546

Authorized Official

Name
JACK L. SEMMENS, DDS
Title
PRESIDENT
Phone
(530) 583-5546

Specialties & Taxonomy Codes

Specialty
Dentist

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Organizations

Provider Name
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