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Individual

DR. DANTE R ORETA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
501 MAIN ST, GREENUP, KY 41144-1033
(606) 473-1002
(606) 473-0075
Mailing address
501 MAIN ST, GREENUP, KY 41144-1033
(606) 473-1002
(606) 473-0075

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27710
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000006816
CHA HEALTH
KY
01
0147899
MEDICAID
OH
01
021173300
BLACK LUNG
PA
01
4603114
AETNA
TX
01
50C9
BLUE CROSS
KY
05
64277106
KY
Enumeration date
11/14/2006
Last updated
07/08/2007
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