Jack L. Semmens DDS Dental Corporation

NPI #1558672956 in Tahoe City, California

Provider Information

NPI Number
1558672956
Entity Type
Organization
Organization Name
Jack L. Semmens DDS Dental Corporation
Primary Specialty
Dentist
Enumeration Date
Jun 30, 2010
Last Updated
Jun 30, 2010

Practice Location

Address
495 NO LAKE BLVD,
ZIP Code
96145
Phone
(530) 583-5546

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Dentist

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Organizations

Provider Name
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