Blake, Summer Lynn

Blake, Summer Lynn is an sole proprietor health care provider with primary practice located at 451 Manhattan Beach Blvd Suite #D-224, Manhattan Beach CA 90266-5345. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Blake, Summer Lynn can be contacted via phone (310) 545-0770.

Contact Information

Primary practice address
451 Manhattan Beach Blvd Suite #D-224 Manhattan Beach CA 90266-5345
Phone: (310) 545-0770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 48703 California

Profile Details

NPI number 1578896445
LBN Legal business name Blake, Summer Lynn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2009
Last updated Mar 24th, 2010 - about 15 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 1578896445 NPPES
California Other 1223X0400X ORTHODONTIC NPI

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