Bruce, Ilya
Bruce, Ilya is an individual health care provider with primary practice located at 1330 S Vermont Ave , Los Angeles CA 90006-4502. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bruce, Ilya can be contacted via phone (213) 383-7315.Contact Information
Primary practice address
1330 S Vermont Ave
Los Angeles CA 90006-4502
Phone: (213) 383-7315
Fax: (213) 383-3483
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 48235 | California |
Profile Details
| NPI number | 1821079922 |
|---|---|
| LBN Legal business name | Bruce, Ilya |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| 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 | 1821079922 | NPPES |
| California | Other | G9344201 | DENTICAL |
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