Chalk, Kevin David

Chalk, Kevin David is an sole proprietor health care provider with primary practice located at 321 Eucalyptus Ave , Vista CA 92084-6031. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Chalk, Kevin David can be contacted via phone (760) 726-1137.

Contact Information

Primary practice address
321 Eucalyptus Ave Vista CA 92084-6031
Phone: (760) 726-1137
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DK035855 California

Profile Details

NPI number 1861544553
LBN Legal business name Chalk, Kevin David
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
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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