Bakland, Leif Kristian
Bakland, Leif Kristian is an individual health care provider with primary practice located at 11092 Anderson St. , Loma Linda CA 92354. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Bakland, Leif Kristian can be contacted via phone (909) 558-4613.Contact Information
Primary practice address
11092 Anderson St.
Loma Linda CA 92354
Phone: (909) 558-4613
Fax: (909) 558-4192
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Endodontics | 1223E0200X | D17028 | California |
Profile Details
NPI number | 1528271541 |
---|---|
LBN Legal business name | Bakland, Leif Kristian |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 7th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528271541 | NPPES |
California | Other | D17028 | STATE LICENSE |
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