Bruckner, Richard
Bruckner, Richard is an sole proprietor health care provider with primary practice located at 2796 Sycamore Dr Suite 202, Simi Valley CA 93065-1546. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bruckner, Richard can be contacted via phone (805) 522-0332.Contact Information
Primary practice address
2796 Sycamore Dr Suite 202
Simi Valley CA 93065-1546
Phone: (805) 522-0332
Fax: (805) 522-8350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 32034 | California |
Profile Details
| NPI number | 1336208453 |
|---|---|
| LBN Legal business name | Bruckner, Richard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 6th, 2006 |
| 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.
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