Agpalo, Nick A

Agpalo, Nick A is an sole proprietor health care provider with primary practice located at 4210 Eagle Rock Blvd , Los Angeles CA 90065-4405. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Agpalo, Nick A can be contacted via phone (323) 550-8341.

Contact Information

Primary practice address
4210 Eagle Rock Blvd Los Angeles CA 90065-4405
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D32257 California

Profile Details

NPI number 1659492171
LBN Legal business name Agpalo, Nick A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659492171 NPPES
California Other D32257 DENTAL LICENSE

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