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Contact Information

TAHOE CITY DENTAL GROUP
140 MACKINAW ST
TAHOE CITY, CA96145
 Phone: 530-583-0278
 Fax: 530-583-8660
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for TAHOE CITY DENTAL GROUP · (Female)

NPI Number 1043393739
Status Active
Credentials
Entity Individual
Enumeration date 10/24/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 25458
  • CA License # 41219
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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