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Individual

MR. DENNIS RICHARD DENTONI-LASOFSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, NP-C, MSN

Contact information

Practice address
1916 KIRKHAM ST, SAN FRANCISCO, CA 94122-3322
(415) 583-5845
Mailing address
1916 KIRKHAM ST, SAN FRANCISCO, CA 94122-3322
(415) 583-5845

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201241579RN
OR
163W00000X
Registered Nurse
664630
NY
163W00000X
Registered Nurse
832860
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
95015130
CA

Other

Enumeration date
02/12/2013
Last updated
09/02/2020
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