Individual
DR. DENNIS ROY VANNATTA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4600 SINGING HILLS BLVD, SIOUX CITY, IA 51106-9702
(712) 271-4600
(712) 271-4604
Mailing address
4600 SINGING HILLS BLVD, SIOUX CITY, IA 51106-9702
(712) 271-4600
(712) 271-4604
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
IA1725
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2214791
—
IA
05
—
3214791
—
IA
Enumeration date
08/16/2005
Last updated
07/08/2007
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