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Individual
MICHAEL S DENTON
Active
Individual
MICHAEL S DENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16811
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4292600001
DME SUPPLIER NUMBER
CA
Enumeration date
08/10/2005
Last updated
03/26/2018
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