Individual
DR. DENTON HERSEY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
14349 AMARGOSA RD, VICTORVILLE, CA 92392-2317
(760) 241-2020
Mailing address
14349 AMARGOSA RD, VICTORVILLE, CA 92392-2317
(760) 241-2020
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
5479T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437119237
—
CA
Enumeration date
03/24/2006
Last updated
09/27/2016
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