Brountchenko, Sergiei

Brountchenko, Sergiei is an sole proprietor health care provider with primary practice located at 4577 E Kings Canyon Rd, Suite #102 , Fresno CA 93702-3717. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brountchenko, Sergiei can be contacted via phone (559) 454-0777.

Contact Information

Primary practice address
4577 E Kings Canyon Rd, Suite #102 Fresno CA 93702-3717
Fax: (559) 454-0280
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 42278 California

Profile Details

NPI number 1740272970
LBN Legal business name Brountchenko, Sergiei
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2005
Last updated Mar 12th, 2020 - about 4 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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