Provider Demographics
NPI:1710035746
Name:AMR, DENA (MD)
Entity Type:Individual
Prefix:MS
First Name:DENA
Middle Name:
Last Name:AMR
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:3791 KATELLA AVE. #201
Mailing Address - Street 2:VASCULAR & GENERAL SURGERY ASSOC
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720
Mailing Address - Country:US
Mailing Address - Phone:562-596-6736
Mailing Address - Fax:562-596-5387
Practice Address - Street 1:3791 KATELLA AVE. #201
Practice Address - Street 2:VASCULAR & GENERAL SURGERY ASSOC
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720
Practice Address - Country:US
Practice Address - Phone:562-596-6736
Practice Address - Fax:562-596-5387
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA78876208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA78876OtherLICENSE
CAA78876OtherLICENSE