Baughman, Heather Marie

Baughman, Heather Marie is an individual health care provider with primary practice located at 483 N Aviation Blvd Bldg 210 , El Segundo CA 90245-2808. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Baughman, Heather Marie can be contacted via phone (310) 653-6844.

Contact Information

Primary practice address
483 N Aviation Blvd Bldg 210 El Segundo CA 90245-2808
Phone: (310) 653-6844
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X D-5139 Idaho

Profile Details

NPI number 1396379335
LBN Legal business name Baughman, Heather Marie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2020
Last updated Nov 1st, 2023 - about last year

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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