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Individual

DR. DENNIS JOHN LIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
4100 W THIRD STREET, DAYTON VAMC EYE CLINIC 112E, DAYTON, OH 45428
(937) 268-6511
Mailing address
4100 W THIRD STREET, DAYTON VAMC EYE CLINIC 112E, DAYTON, OH 45428
(937) 268-6511

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4366
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0936796
OH
Enumeration date
03/23/2006
Last updated
01/03/2013
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