Collins, Sean Martin
Collins, Sean Martin is an individual health care provider with primary practice located at 630 S Fairmont Ave Ste B , Lodi CA 95240-3803. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Collins, Sean Martin can be contacted via phone (209) 367-3595.Contact Information
Primary practice address
630 S Fairmont Ave Ste B
Lodi CA 95240-3803
Phone: (209) 367-3595
Fax: (209) 367-9276
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 36740 | California |
Profile Details
NPI number | 1538254404 |
---|---|
LBN Legal business name | Collins, Sean Martin |
Credentials | D.D.S., M.S.D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 4th, 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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