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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 DENTIST (PRESIDENT)
(530) 583-5546
Entity
Organization
Contact information
Practice address
495 NO LAKE BLVD,, TAHOE CITY, CA 96145
(530) 583-5546
Mailing address
PO BOX 1912, TAHOE CITY, CA 96145-1912
(530) 583-5546
(539) 583-3559
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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