Organization
DENNIS L TANK DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS LANE TANK DDS (PRES OWNER)
(805) 985-0300
Entity
Organization
Contact information
Practice address
475 W CHANNEL ISLANDS BLVD, 203, PORT HUENEME, CA 93041
(805) 985-0300
Mailing address
475 W CHANNEL ISLANDS BLVD, 203, PORT HUENEME, CA 93041
(805) 985-0300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21068
CA
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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