Individual
MONICA L. DENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-A
Contact information
Practice address
3230 OLD LANTERN DR, BROOKFIELD, WI 53005-3016
(262) 783-7731
Mailing address
3230 OLD LANTERN DR, BROOKFIELD, WI 53005-3016
(262) 783-7731
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
198-156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619286408
—
WI
01
—
P00959860
RAILROAD
—
Enumeration date
09/28/2010
Last updated
10/24/2013
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