| Organization Name: | DENNIS BARBER SHOP |
| NPI Number: | 1053451146 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DENNIS DAVID PECORELLA (OWNER) |
| Mailing Address: | 1007 Alamo Dr Vacaville |
| State: | CA US |
| Postal Code: | 956875603 |
| Phone Number: | 7074474927 |
| Fax Number: | 7074472529 |
| NPI Enumeration Date: | 02/07/2007 |
| NPI Last Update Date: | 06/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | A181199 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |