Individual
DENNIS YUKIO NAKATANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
79795 HIGHWAY 111, LA QUINTA, CA 92253-4756
(760) 775-5454
Mailing address
79795 HIGHWAY 111, LA QUINTA, CA 92253-4756
(760) 775-5454
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4767
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750551321
IEHP
CA
Enumeration date
05/07/2012
Last updated
05/07/2012
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