Provider Demographics
NPI:1538362512
Name:MILLS, DENNIS EDWARD (BS HEALTH CARE TECH)
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:EDWARD
Last Name:MILLS
Suffix:
Gender:M
Credentials:BS HEALTH CARE TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:22505 WOODROE PLACE
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541
Mailing Address - Country:US
Mailing Address - Phone:510-537-1688
Mailing Address - Fax:510-537-9222
Practice Address - Street 1:22505 WOODROE PLACE
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541
Practice Address - Country:US
Practice Address - Phone:510-537-1688
Practice Address - Fax:510-537-9222
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered167G00000XNursing Service ProvidersLicensed Psychiatric Technician