Dennis L Tank DDS PC
Dentist in Port Hueneme, CA. Organization (NPI-2).
NPI number1306991807
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1306991807
- Entity type
- Organization (NPI-2)
- Legal business name
- Dennis L Tank DDS PC
- Organization subpart
- No
- Enumeration date
- Jan 24, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 21068 | CA | Yes |
Practice location
475 W Channel Islands Blvd203
Port Hueneme, CA 93041
Phone 805-985-0300
Mailing address
475 W Channel Islands Blvd203
Port Hueneme, CA 93041
Phone 805-985-0300
Authorized official
Dennis Lane Tank
Pres Owner
8059850300
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