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Organization
JACK L. SEMMENS DDS DENTAL CORPORATION
Active
Organization
JACK L. SEMMENS DDS DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK L. SEMMENS DDS (PRESIDENT)
(530) 583-5546
Entity
Organization
Contact information
Practice address
495 NO LAKE BLVD, SUITE 270, TAHOE CITY, CA 96145
(530) 583-5546
Mailing address
495 NO LAKE BLVD, - P.O. BOX 1912, SUITE 270, TAHOE CITY, CA 96145
(530) 583-5546
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18407
CA
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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