| Dennis L Tank Dds Pc | |
|
475 W Channel Islands Blvd 203 Port Hueneme CA 93041 | |
| (805) 985-0300 | |
| Not Available |
| Full Name | Dennis L Tank Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 475 W Channel Islands Blvd, Port Hueneme, California |
| Authorized Official Name and Position | Dennis Lane Tank (PRES OWNER) |
| Authorized Official Contact | 8059850300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis L Tank Dds Pc 475 W Channel Islands Blvd 203 Port Hueneme CA 93041 Ph: (805) 985-0300 | Dennis L Tank Dds Pc 475 W Channel Islands Blvd 203 Port Hueneme CA 93041 Ph: (805) 985-0300 |
| NPI Number | 1306991807 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306991807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 21068 (California) | Primary |