Provider Demographics
NPI:1932258100
Name:HARDING, DENNIS (DC,BCAO)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:HARDING
Suffix:
Gender:M
Credentials:DC,BCAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11899 EDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-3437
Mailing Address - Country:US
Mailing Address - Phone:530-823-3734
Mailing Address - Fax:530-823-5432
Practice Address - Street 1:11899 EDGEWOOD RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-3437
Practice Address - Country:US
Practice Address - Phone:530-823-3734
Practice Address - Fax:530-823-5432
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA20213111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor