Individual
DR. DAVID LAWRENCE DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3416 BECHELLI LANE, REDDING, CA 96002-2432
(530) 222-1422
(530) 222-5282
Mailing address
3416 BECHELLI LANE, REDDING, CA 96002-2432
(530) 222-1422
(530) 222-5282
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6199
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6199T
OPTOMETRIC LICENSE
CA
05
—
SD0061990
—
CA
Enumeration date
06/27/2006
Last updated
04/03/2008
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