Jack Semmens, DDS Valid NPI
Individual provider · Dentist · Tahoe City, CA
- NPI
- 1073906756
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 18407 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2015-03-05
- Last updated
- 2015-03-05
Practice location
495 North Lake Blvd - 96145, Ste 270
Tahoe City, CA 96145-1912
(530) 583-5546