Individual
JERRY L. DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4095 COUNTY CIRCLE DR, RIVERSIDE, CA 92503-3410
(951) 358-4621
(951) 358-4513
Mailing address
2252 RAVENCREST CT, RIVERSIDE, CA 92506-4641
(951) 683-5253
(951) 683-5238
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C52116
CA
Other
Enumeration date
01/22/2007
Last updated
09/10/2009
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