Champion, Ronald Lynn
Champion, Ronald Lynn is an sole proprietor health care provider with primary practice located at 4101 Tully Rd Ste 401 , Modesto CA 95356-8982. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Champion, Ronald Lynn can be contacted via phone (209) 575-5888.Contact Information
Primary practice address
4101 Tully Rd Ste 401
Modesto CA 95356-8982
Phone: (209) 575-5888
Fax: (209) 575-5898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 23489 | California |
Profile Details
| NPI number | 1104044312 |
|---|---|
| LBN Legal business name | Champion, Ronald Lynn |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 23rd, 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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