Collons, Mark A
Collons, Mark A is an sole proprietor health care provider with primary practice located at 1033 Gayley Ave #106, Los Angeles CA 90024-3417. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Collons, Mark A can be contacted via phone (310) 208-6333.Contact Information
Primary practice address
1033 Gayley Ave #106
Los Angeles CA 90024-3417
Phone: (310) 208-6333
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 19856 | California |
Profile Details
NPI number | 1548365513 |
---|---|
LBN Legal business name | Collons, Mark A |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 14th, 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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