Individual
DR. CAROLE M DENTINO
Active
Individual
DR. CAROLE M DENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
14202
LA
2085R0202X
Diagnostic Radiology Physician
14202R
LA
2085R0202X
Diagnostic Radiology Physician
Primary
29405
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104701
—
LA
01
—
14202R
MEDICAL LICENSE
LA
Enumeration date
01/06/2006
Last updated
09/17/2014
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