Provider Demographics
NPI:1700012846
Name:DENCHER INC.
Entity Type:Organization
Organization Name:DENCHER INC.
Other - Org Name:MIRACLE EAR HEARING AID CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED HEARING AID SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:MORTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-497-7971
Mailing Address - Street 1:2239 TOWNSGATE RD STE 106
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-2426
Mailing Address - Country:US
Mailing Address - Phone:805-497-7971
Mailing Address - Fax:805-497-7257
Practice Address - Street 1:2239 TOWNSGATE RD STE 106
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-2426
Practice Address - Country:US
Practice Address - Phone:805-497-7971
Practice Address - Fax:805-497-7257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-03
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA1014332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment