Individual
DENNIS DODERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
13774 PLANTATION RD, #104, FORT MYERS, FL 33912-4461
(239) 561-9169
Mailing address
13774 PLANTATION RD, #104, FORT MYERS, FL 33912-4461
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00669700
NJ
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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