| NPI | 1518206424 |
|---|---|
| Former Name | DENNIS RICHARD DENTONI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95015130) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201241579RN) |
| 163W00000X Registered Nurse (Licence: NY 664630) | |
| 163W00000X Registered Nurse (Licence: CA 832860) | |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2020-09-02 |