Organization
STEPHANIE M. DENTONI MD, INC
Active
Other names
California Vein & Vascular Institute
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE M. DENTONI M.D. (PRESIDENT)
(209) 462-8346
Entity
Organization
Contact information
Practice address
2216 N. CALIFORNIA ST. STE C, STOCKTON, CA 95204
(209) 462-8346
Mailing address
PO BOX 579120, MODESTO, CA 95357-9120
(209) 759-2533
(541) 722-7090
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/18/2006
Last updated
10/07/2020
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