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Individual

MR. DENNIS LEE MYERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.P.O.

Contact information

Practice address
1665 W KATELLA AVE, SUITE B, ANAHEIM, CA 92802-3053
(714) 342-0833
(714) 778-4080
Mailing address
9912 BEVERLY LN, GARDEN GROVE, CA 92841-3839
(714) 590-2241
(714) 636-8881

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CA

Other

Enumeration date
12/15/2006
Last updated
07/08/2007
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